Violation Details: 00390488-AP-341086

Date
3/20/2025
Report number
00390488-AP-341086
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide a safe medication administration system
Result
Substantiated
Findings
On March 20, 2025, the facility discovered that staff failed to give Alleged Victim's (AV) anti-depressant medication to AV for 14 days. The facility is responsible for managing and administering AV's medications. AV did not have any side effects from missing the medication; however, the facility failed to provide a safe medication administration system for AV which is a violation of Oregon Administrative Rules.