Print Violation: 00057036-AP-040268

Provider Information

Pioneer Village

805 N 5TH ST
Jacksonville, OR 97530

Date: 11/6/2019
Report number: 00057036-AP-040268
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate 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: Alleged Victim (AV) is care planned for staff assistance with medication administration. On or about November 6, 2019, it was discovered that AV's omeprazole was in his/her gabapentin bottle and gabapentin was in his/her omeprazole bottle. AV was given the incorrect medications. An unknown person put AV's medications into the wrong bottles. The facility and an unknown person failed to provide a safe medication administration system putting AV at risk for serious harm, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: ALFCP20-00294 $250.00 fine assessed