Violation Details: 00384605-AP-335140

Records Request Print
Date
2/18/2025
Report number
00384605-AP-335140
Type
Licensing Violation
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to administer medication as ordered
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 February 18, 2025, the Alleged Perpetrator 2 (AP2) gave AV the wrong medication. The AV experienced side effects due to the medication error and was sent the hospital. AP2’s actions are a violation of resident rights, considered neglect, and constitutes abuse. The facility failed to ensure a safe medication administration system which violates Oregon Administrative Rules.