Print Violation: 00070794-AP-051596

Provider Information

Elite Care Oatfield Estates - Helen's House

4469 SE OATFIELD HILL ROAD
Milwaukie, OR 97267

Date: 2/8/2020
Report number: 00070794-AP-051596
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 physician orders were followed when Alleged Victim (AV) was released from the hospital on February 8, 2020. AV was discharged back to the facility with a new physician's order to discontinue his/her blood thinner medication for two (2) days. An investigation determined that AV did receive his/her blood thinner medication on February 8, 2020 for his/her pm dose, on February 9, 2020 for all doses, and on February 10, 2020 for his/her am dose. The facility's failure to follow AV's physician's orders exposed AV to potential risk of harm which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP20-00671 $375.00 fine assessed