Violation Details: OR0005141400

Date
6/15/2024
Report number
OR0005141400
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 carry out medication and treatment orders as prescribed in accordance with OAR 411-054-0055(1)(f) per complaint resident received two doses of Zolpiderm instead of Bupinorpine, which is a violation of Oregon Administrative Rules.