Violation Details: 00383998-AP-334486

Records Request Print
Date
2/16/2025
Report number
00383998-AP-334486
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to administer medication as ordered
Result
Substantiated
Rule(s) Violated
External site: 411-054-0055(1)(f)
Findings
The Alleged Victim (AV) relies on the facility for care and for medication administration. On or about February 16, 2025, AV was given a double dose of narcotic pain medication by the Alleged Perpetrator 2(AP2). AP2 had not fully completed all medication pass training at the time of the medication error. An investigation determined no abuse occurred by the facility or AP2, and there was no negative outcome to AV. The facility failed to ensure AVs medications were given according to physician orders, which is a violation of Oregon Administrative Rules.