Print Violation: 00087876-AP-065899

Provider Information

Avamere at Park Place

8445 SW HEMLOCK STREET
Portland, OR 97223

Date: 6/9/2020
Report number: 00087876-AP-065899
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to provide a safe medication administration system
Result: Substantiated
Rule(s) Violated: External site: 411-054-0027(1)(r)
External site: 411-054-0055(1)(a)
Findings: Alleged Victim (AV) relies on the facility to manage his/her medication. On or about June 9, 2020 at approximately 7:45am, the facility received a fax indicating a medication change to AV's narcotic medication. The facility did not implement the change and AV received a second dose. On or about June 10, 2020, AV was found slumped over in his/her wheelchair and was sent out to the emergency room due to the accidental overdose. The facility failed to provide a safe medication administration system putting AV at risk for serious harm, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: ALFCP20-00689 $375.00 fine assessed