Violation Details: CALMS - 00113505

Records Request Print
Date
9/7/2025
Report number
CALMS - 00113505
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
411-054-0055(1)(f)
Findings
The facility failed to carry out medication and treatment orders as prescribed in accordance with OAR 411-054-0055(1)(f); per complainant the facility gave a resident another resident medication which led to the resident having to go to the hospital and was hospitalized with bradycardia, which is a violation of Oregon Administrative Rules.