Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00033470AP-023580
Provider Information
Dallas Retirement Village Memory Care Center
377 NW JASPER ST
Dallas, OR 97338
- Provider ID
- 50R331
- Administrator
- Kanoe Creech
- Phone
- (503) 831-0214
- kcreech@drvhome.com
Violation Details
- Date
- 5/28/2019
- Report number
- 00033470AP-023580
- 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
- AP neglected AV as defined in OAR 4110200002 (1) (b)(A)(i)(ii) by giving AV incorrect medication and failing to give AV h/h medication resulting in harm to AV.
- Sanction
- RCFCP19-612 $500.00 fine assessed