Print Violation: 00063665-AP-045733

Provider Information

Homewood Assisted Living

17999 SE River Road
Milwaukie, OR 97267

Date: 11/24/2019
Report number: 00063665-AP-045733
Type: Abuse: Neglect
Level: 4 - Serious harm, death, imminent danger or chronic regulatory noncompliance
Allegation: Failed to administer medication as ordered
Result: Substantiated
Rule(s) Violated: External site: 411-054-0027(1)(f)
External site: 411-054-0036(2)(g)
External site: 411-054-0055(1)(a), (f), and (k)
Findings: Alleged Victim (AV) requires staff assistance with medication administration and has a known history of refusing medications. AV was not administered prescribed insulin for a period of three weeks due to refusals. Staff did not consistently re-approach AV when he/she refused medications. AV's physician was not notified AV did not receive his/her medication until approximately November 21, 2019. On or about November 24, 2019, AV fell multiple times and was transported to the hospital with high blood sugars. At the hospital it was determined AV sustained a brain bleed after falling and hitting his/her head. On or about February 2, 2020, AV passed away. The facility failed to administer medications as ordered, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: ALFCP20-00384 $500.00 fine assessed