Violation Details: 00444432-AP-396435

Records Request Print
Date
12/5/2025
Report number
00444432-AP-396435
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), 411-054-0027(1)(g) and (s), 411-054-0028(2)
Findings
The Alleged Victim (AV) relies on the facility to administer his/her medications. According to an investigation, on or about December 4, 2025, and December 5, 2025, the Alleged Perpetrator 2 (AP2) marked the narcotics log that AV's "as needed" pain medication was administered, but the medication was not administered to the AV, resulting in financial loss. AP2 admitted to stealing the narcotics medication. AP2's actions are considered financial exploitation and constitutes abuse. The facility failed to protect the AV from financial exploitation, which violates Oregon Administrative Rules.