Print Violation: 00060437-AP-043076

Provider Information

Maple Ridge Senior Living

548 NORTH MAIN STREET
Ashland, OR 97520

Date: 11/28/2019
Report number: 00060437-AP-043076
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: The facility failed to provide a safe medication administration system to ensure Alleged Victim's (AV) physician orders were followed. An investigation determined that physician orders for AV's laxative medication were stopped on May 1, 2019. However, AV received the discontinued laxative medication November 15, 2019 through November 16, 2019 and November 18, 2019 through November 28, 2019 when AV's laxative medication was added back to AV's November 2019 MAR in error. The facility's failure to provide a safe medication administration system resulted in AV receiving discontinued medication which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: ALFCP20-00351 $500.00 fine assessed