Violation Details: 00442239-AP-394152

Records Request Print
Date
11/26/2025
Report number
00442239-AP-394152
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 manage medications and safely administer prescribed medications. On or about November 26, 2025, AV received the last dose of AV's mental health medication. AV did not receive prescribed medication until November 30, 2025, as it was 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
RCFCP26-00644 $450.00 fine assessed