Print Violation: 00102974-AP-078419

Provider Information

Monterey Court Memory Care

8915 SE MONTEREY AVE
Happy Valley, OR 97086

Date: 9/4/2020
Report number: 00102974-AP-078419
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: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings: The facility and Alleged Perpetrator #2 (AP2) failed to provide a safe medication administration system. On or about September 4, 2020, AP2 gave the Alleged Victim (AV) medication that belonged to another resident. This medication had an adverse effect on AV, which placed AV at risk for harm. AP2's training documentation was not completed, which also placed AV at a risk for harm. AP2's actions are a violation of resident rights, is considered neglect of care and constitutes abuse. The facility's failures are a violation of resident rights, are considered neglect of care and constitute abuse.
Sanction: RCFCP21-01705 $250.00 fine assessed