- Date
- 5/26/2026
- Report number
- CALMS - 00114345
- Type
- Licensing Violation
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to administer medication as ordered
- Result
- Substantiated
- Findings
- The facility failed to ensure medication and treatment orders must be carried out as prescribed, which resulted in Resident 1 receiving the incorrect medication and then being admitted to the ICU. An investigation determined this is a violation of Oregon Administrative Rules and caused serious risk of harm to the resident.