Print Violation: 00062377-AP-050117

Provider Information

Gilman Grove Assisted Living

2205 GILMAN DRIVE
Oregon City, OR 97045

Date: 12/16/2019
Report number: 00062377-AP-050117
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: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(f) and (r)
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 the Alleged Victim's (AV) medication was available to administer twice daily. He/she went without blood thinner medication the morning of January 25, 2020, even though the facility received the medication by 7 pm on January 24, 2020, which placed AV at a risk for harm. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: ALFCP20-00329 $1000.00 fine assessed