Print Violation: 00034840-AP-024521

Provider Information

Dallas Retirement Village Assisted Living Hud

377 NW JASPER ST
Dallas, OR 97338

Date: 6/3/2019
Report number: 00034840-AP-024521
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to administer medication as ordered
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: The facility failed to provide a safe medication administration system to ensure the Alleged Victim's (AV) medication were administered as ordered. The failure resulted in AV missing several pain patches between approximately January and June 2019, causing unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: ALFCP20-00255 $500.00 fine assessed