Violation Details: 00412608-AP-363795

Records Request Print
Date
6/24/2025
Report number
00412608-AP-363795
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide a safe medication administration system
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(g) and (s)
Findings
According to the documentation, the Alleged perpetrator 3 (AP3) failed to provide a safe medication administration system for the Alleged Victim (AV). On or about July 04, 2025, AP3 did not give the AV their narcotic medication but signed on the Medication Administration Record (MAR) that they had administered the medication for the AV’s pain. The failure to administer the narcotic medication to the AV placed them at risk for experiencing unnecessary pain, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to provide a safe medication administration system which is a violation of Oregon Administrative Rules.