Violation Details: 00374485-AP-324837

Records Request Print
Date
12/18/2024
Report number
00374485-AP-324837
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), 411-054-0027(1)(g) and (s), 411-054-0028(2), 411-054-0055(1)(a)(f) and (2)
Findings
The Alleged Victim (AV) has severe cognitive deficits and relies on the facility to administer his/her medications. According to an investigation, on or about December 18, 2024, the Alleged Perpetrator 2 (AP2) marked AV had been "given" their thyroid medication on AV's electronic record when AP2 had not administered the medication. This exposed AV to potential risk of serious harm. AP2's actions are considered neglect and constitutes abuse. The facility failed to ensure medications were administered as ordered, which violates Oregon Administrative Rules.