Violation Details: CALMS - 00105525

Date
2/3/2026
Report number
CALMS - 00105525
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate 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 in accordance with OAR 411-054-0055(1)(f). Per complainant, resident was not getting medications for two months. Facility swapped pharmacy's but residents did not get medications for months. The resident's health declined very badly because h/she did not get their medication, which is a violation of Oregon Administrative Rules.