Violation Details: 00394274-AP-344951

Records Request Print
Date
4/7/2025
Report number
00394274-AP-344951
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to administer medication as ordered
Result
Substantiated
Rule(s) Violated
411-04-0025 (1)(a) and (b)
External site: 411-054-0027 (1)(g) and (s)
External site: 411-054-0028 (2)
External site: 411-054-0040 (2)(a)
External site: 411-054-0055 (1)(a) and (f)
Findings
The Alleged Victim (AV) relies on the facility to manage his/her medications. According to an investigation, on or about April 7, 1015, the Alleged Perpetrator 2 (AP2) did not follow proper procedure for medications and gave AV the wrong medication. The AV AS sent to the hospital ns required monitoring and multiple EKG's. 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.