Print Violation: 00067096-AP-048723

Provider Information

Elite Care Jefferson - Ashland

4422 SE OATFIELD HILL ROAD
Milwaukie, OR 97267

Date: 1/13/2020
Report number: 00067096-AP-048723
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 Perpetrator 2 (AP2) neglected Alleged Victim (AV) by failing to administer medications to AV as ordered. On or about January 13, 2020, three days prior to AV's new medication cycle fill, the facility ran out of AV's medication, Donepezil. An investigation determined that AP2 did not document, reorder the medication, or tell anyone that AV had run out of Donepezil which caused AV to miss his/her dosage on 1/13/2020, 1/14/2020, and 1/15/20. AP2's actions is considered neglect of care which constitutes abuse. The facility failed to provide appropriate medication administration training and oversight of its medication system resulting in AV not getting his/her medications as prescribed. The facility's failure to provide a safe medication system for AV is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP21-01687 $250.00 fine assessed