- 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.