Violation Details: 00370833-AP-321182

Records Request Print
Date
12/9/2024
Report number
00370833-AP-321182
Type
Licensing Violation
Level
3 - Moderate harm or potential for serious 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)(g) and (s)
External site: 411-054-0028 (2)
External site: 411-054-0055 (1)(a) and (f)
Findings
The Alleged Victim (AV) relies on the facility to manage their medications. According to an investigation, on or about December 9, 2026, Alleged Perpetrator 2 (AP2) administered the incorrect medications to the AV. The AV became unresponsive and required treatment in the emergency department and hospitalization. AP2’s actions are a violation of resident rights, considered neglect, and constitutes abuse. The facility failed to provide a safe medication administration system which violates Oregon Administrative Rules.