Print Violation: 00018880-AP-013484

Provider Information

Sellwood Senior Living

8517 SE 17TH AVENUE
Portland, OR 97202

Date: 2/2/2019
Report number: 00018880-AP-013484
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide a safe medication administration system
Result: Substantiated
Rule(s) Violated: External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(f)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings: Alleged Victim (AV) has an order for his/her blood sugar level to be taken daily. On or about February 14, 2019, it was discovered that on days Alleged Perpetrator 2 (AP2) worked, there were no blood glucose levels in the glucometer but values were entered into the medication administration record by AP2. AP2 admitted to not taking AV's blood sugar readings and inputting a averaged number into the medication administration record. AP2 falsified AV's records an unknown number of times between January 2, 2019 and January 21, 2019. AV received a new glucometer on January 21, 2019 that showed AP2 did not complete blood glucose readings from January 21, 2019 through February 14, 2019. The facility failed to provide oversight and monitoring of the medication administration system. AP2's and the facility actions are a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: ALFCP21-01525 $188.00 fine assessed