Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00025567AP-018185
Provider Information
Pacific Grove Senior Living Community
2112 OAK ST
Forest Grove, OR 97116
- Provider ID
- 70M035
- Administrator
- Lisa Vincent
- Phone
- (503) 359-1002
- aled@pacificgroveslc.com
Violation Details
- Date
- 4/4/2019
- Report number
- 00025567AP-018185
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to provide a safe medication administration system
- Result
- Substantiated
- Rule(s) Violated
-
External site: 411-054-0027(1)(f)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
- Findings
- Neglect of Care AP neglected AV as defined in OAR 4110200002(1)(b)(A)(i) by failing to follow the AVs care plan, MARS and the narcotics log resulting in the AV not properly receiving their necessary medications as prescribed by their care provider.
- Sanction
- ALFCP19-242 $500.00 fine assessed