Print Violation: 00072228-AP-052786

Provider Information

Flagstone Retirement And Assisted Living

3325 COLUMBIA VIEW DR
The Dalles, OR 97058

Date: 2/15/2020
Report number: 00072228-AP-052786
Type: Licensing Violation
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)(r)
Findings: The Alleged Perpetrator 2 (AP2) failed to provide safe medication administration to ensure the Alleged Victim's (AV) was given the correct medication. The failure resulted in AV receiving the wrong medication and was transferred to the hospital for evaluation, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to provide a safe medication administration system, which is a violation of Oregon Administrative Rules.