Violation Details: 00364170-AP-314444

Records Request Print
Date
11/3/2024
Report number
00364170-AP-314444
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide a safe medication administration system
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(s)
External site: 411-054-0030(1)(f)
External site: 411-054-0055(1)(a) and (f)
Findings
On or about November 2, 2024, the Alleged Victim (AV) was dispensed medication at 8:00 PM by a facility staff member where the staff member did not observe AV take the medication. On or about November 3, 2024 at 5:30 AM, AV ended up taking the medication as it was laying on AV's bookshelf. The facility's failure to ensure a safe medication administration system is a violation of Oregon Administrative Rules.