Violation Details: 00389275-AP-339793

Date
3/15/2025
Report number
00389275-AP-339793
Type
Licensing Violation
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to assure timely medical treatment
Result
Substantiated
Findings
The Alleged Victim (AV) relies on the facility to manage their medications. According to an investigation, on or about March 15, 2025, the Alleged Perpetrator 2 (AP2) did not administer the AV's evening medications medication, resulting in the AV experiencing weakness and increased tremors, causing distress. The 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.