- Date
- 11/3/2025
- Report number
- CALMS - 00094493
- 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 report the facility ran out of long acting insulin for the resident and did not administer it for three days, which is a violation of Oregon Administrative Rules.