Violation Details: 00438180-AP-389993

Records Request Print
Date
11/8/2025
Report number
00438180-AP-389993
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide inservice
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b), 411-054-0027(1)(g) and (s), 411-054-0028(2), 411-054-0055(1)(f)
Findings
The Alleged Victim (AV) relies on the facility to administer his/her medications. According to an investigation, on or about November 8, 2025, the Alleged Perpetrator 2 (AP2) failed to administer medication as ordered when she/he administered another resident's medication to AV. This exposed AV to risk of serious harm. AP2's actions are considered neglect and constitutes abuse. The facility failed to protect AV from potential harm and ensure medications were administered as ordered, which violates Oregon Administrative Rules. The allegation that Alleged Perpetrator 3 (AP3) verbally neglected AV was investigated and determined to be not substantiated.