Violation Details: 00421881-AP-373340

Records Request Print
Date
8/16/2025
Report number
00421881-AP-373340
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: 411-054-0055(1)(a) and (f)
External site: 411-054-0070(1)
Findings
On or about August 16, 2025, Alleged Perpetrator #2 (AP2) was passing medications to the Alleged Victim (AV). AP2 crushed AV's medication, which is not to be crushed, as it's a time release medication. AP2 was not trained to pass medications by the facility prior to passing medication. AV suffered unreasonable discomfort due to the medication being crushed. The facility's failure to provide a safe medication administration system and properly train staff is a violation of Oregon Administrative Rules.