- Date
- 8/7/2025
- Report number
- CALMS - 00092604
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide a safe medication administration system
- Result
- Substantiated
- Findings
- The facility failed to carry out medication and treatment orders as prescribed in accordance with OAR 411-054-0055(1)(f); Per a facility self report the resident received double the dose of morning insulin, which is a violation of Oregon Administrative Rules.