Violation Details: 00381828-AP-332350

Records Request Print Provider Details
Date
2/4/2025
Report number
00381828-AP-332350
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
411-054-0025(1)(a) and (b)
411-054-0027(1)(s)
Findings
According to the documentation, the Alleged Perpetrator 2 (AP2) failed to provide a safe medication administration system for the Alleged Victim (AV). On or about February 04, 2025, AP2 was found by another staff member to not be administering the AV their prescribed blood pressure medication. AP2 claimed the AV was refusing to have their blood pressure taken as there were parameters the blood pressure needed to be within per doctor’s orders. There were no parameters for the AV’s blood pressure to be taken prior to administration of the medication. AP2 failed to provide a safe medication administration system which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to provide a safe medication administration system which is a violation of Oregon Administrative Rules.