Violation Details: CALMS - 00094713

Records Request Print
Date
4/21/2025
Report number
CALMS - 00094713
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: 411-054-0055(1)(f)
Findings
On or about April 21, 2025, an investigation conducted by the ODHS Licensing Complaint Unit (LCU) determined that the facility failed to provide a safe medication administration system, as required under Oregon Administrative Rules. Based on a review of facility documentation and staff interviews, it was found that the facility did not have adequate systems in place to track and follow medical orders. This systemic failure resulted in missed or delayed administration of prescribed medications and treatments for residents, The facility failure is a violation of Oregon Administrative Rules.