Violation Details: 00370913-AP-321254

Records Request Print
Date
12/7/2024
Report number
00370913-AP-321254
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)(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, beginning on or about December 7, 2024, the Alleged Perpetrator 2 (AP2) did not follow proper procedure for medication administration and gave the AV the incorrect dose of medication on multiple occasions, placing the AV at risk of harm. 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. The allegation that Alleged Perpetrator 3 (AP3) neglected the AV was investigated and determined to be not substantiated.