Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00057690AP-040791
Provider Information
Country Meadows Village
155 S EVERGREEN
Woodburn, OR 97071
- Provider ID
- 70A285
- Administrator
- Tracy Swanborough
- Phone
- (503) 982-2221
- aed@countrymeadowsvillage.com
Violation Details
- Date
- 11/6/2019
- Report number
- 00057690AP-040791
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to administer medication as ordered
- Result
- Substantiated
- Rule(s) Violated
-
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(r)
External site: 411-054-0055(1)(a) and (f)
- Findings
- AP1 neglected AV as defined in OAR 4110200002(1)(b)(A)(ii) by failing to ensure that AP2 had adequate supervision and training for medication administration, resulting in AV being in significant risk of harm.