Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: 00033491AP-023589

Provider Information


Autumn House of Grants Pass

2268 WILLIAMS HWY
Grants Pass, OR 97527

Provider ID
50R343
Administrator
ROBYN VIERRA
Phone
(541) 474-6399
Email
autumn@pacificlivingcenters.com

Violation Details


Date
5/27/2019
Report number
00033491AP-023589
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide a safe medication administration system
Result
Substantiated
Findings
Neglect of care: AP2 neglected AV as defined in OAR 4110200002(1)(b)(A)(i) byfailing to administer medications to AV as ordered, which resulted in risk of serious harm to AV