Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: 00038523AP-027063

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
Email
kcreech@drvhome.com

Violation Details


Date
6/21/2019
Report number
00038523AP-027063
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide a safe medication administration system
Result
Substantiated
Findings
AP neglected AV as defined in OAR 4110200002 (1) (b) (A)(i) by failing to manage AVs medication correctly resulting in AV having 2 pain management patches on at the same time.