Violation Details: 00432165-AP-383984

Records Request Print
Date
10/12/2025
Report number
00432165-AP-383984
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to administer medication as ordered
Result
Substantiated
Rule(s) Violated
411-054-0025(1)(a) and (b)
411-054-0027(1)(g) and (s)
411-054-0028(2)
411-054-0036(2)(g): 411-054-0055(1)(a) and (f)
Findings
Alleged Victim (AV) lived in the Respondent’s facility and depended on facility staff to ensure AV’s basic care and safety. AV’s service plan indicated that AV required facility staff assistance to order, store, and safely administer prescribed medications. On or about October 12, 2025, AV did not receive prescribed cardiac health medication #1 or prescribed cardiac health medication #2, as both were documented as not available for administration. The Respondent failed to maintain a safe medication and treatment administration system and failed to administer medications as prescribed. This constitutes abuse by neglect as defined in OAR 411-020-0002(1)(b)(A)(ii).
Sanction
RCFCP26-00643 $375.00 fine assessed