- Date
- 1/4/2023
- Report number
- OR0003956302
- 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- The facility failed to implement a system for tracking controlled substances, and for disposal of all unused outdated or discontinued medications administered by the facility resulting in a staff member leaving a Fentanyl patch in a resident's room and exposing resident to potential harm, which is a violation of Oregon Administrative Rules.