Violation Details: CALMS - 00093143

Records Request Print
Date
9/15/2025
Report number
CALMS - 00093143
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide oversight and monitoring of change of condition
Result
Substantiated
Rule(s) Violated
External site: 411-054-0040(1)(a) and (d)(A-B), and (2)
Findings
Resident returned to the facility, and missed h/h medication as staff left the medication on hold. There is no documentation resident was monitored for adverse effect regarding the missed medications. The facility’s failure to monitor a resident was substantiated, an investigation determined this is a violation of Oregon Administrative Rules.