Violation Details: CALMS - 00104479

Date
8/11/2025
Report number
CALMS - 00104479
Type
Licensing Violation
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to administer medication as ordered
Result
Substantiated
Findings
On or about August 11, 2025, Alleged Victim had been found by a family member at approximately 11:12 AM laying in his/her recliner breathing heavily, 911 had been called, and resident was sent to the hospital. The last time the Alleged Victim had been seen by staff had been 8:12 PM the night prior on 08/10/25. The MARs indicated the Alleged Victim had not received his/her medication on 08/11/25. Facility Staff confirmed the Alleged Victim had not received any medications. The facility allegedly failed to administer medication as ordered for the Alleged Victim. An investigation determined this is a violation of Oregon Administrative Rules.