- Date
- 2/22/2019
- Report number
- OR0001771000
- Type
- Licensing Violation
- Level
- 1 - No harm or potential for minor harm
- Allegation
- Failed to provide a safe medication administration system
- Result
- Substantiated
- Findings
- Facility failed to ensure adequate and professional oversight of the medication and treatment administration systems per OAR 4110540055 (1) (a). Facility is giving the wrong amount of insulin and has had multiple medication errors.