Print Violation: 00037185-AP-026101

Provider Information

Dallas Retirement Village Assisted Living

340 NW BRENTWOOD ST
Dallas, OR 97338

Date: 5/27/2019
Report number: 00037185-AP-026101
Type: Licensing Violation
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to administer medication as ordered
Result: Substantiated
Rule(s) Violated: External site: 411-054-0028(2)
External site: 411-054-0045(1)(F)
External site: 411-054-0055(1)(f)
Findings: On or about May 16, 2019, an order was received for Alleged Victim (AV) to have an anti-coagluation injection administered every evening starting on May 17, 2019. AV's service plan directs the anti-coagulation medication be given at the same time each day. On May 20, 2019, the medication administration record indicated a note of refusal, which was signed and documented on May 28, 2019 by Alleged Perpetrator 2 (AP2). On May 27, 2019, the medication administration record indicated a note of "hold/see progress notes" signed by AP2. AP2 documented in progress notes that she/he was unavailable to administer the medication. AP2 did not administer AV's medications as ordered which is considered neglect of care and constitutes abuse. The facility failed to ensure AV's medication was administered which is a violation of Oregon Administrative Rules.