Violation Details: 00435643-AP-387501

Records Request Print
Date
10/28/2025
Report number
00435643-AP-387501
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to administer medication as ordered
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(g) and (s)
External site: 411-054-0055(1)(f)
Findings
The Alleged Victim (AV) relies on the facility for care and medication administration. On or about October 28, 2025, the Alleged Perpetrator 2 (AP2) administered AV a medication that belonged to another resident. AV is allergic to the medication, resulting in AV being sent to the hospital. AP2's actions are considered neglect of care and constitutes abuse. The facility failed to ensure medications were administered as ordered which is a violation of Oregon Administrative Rules.