Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: 00107206-AP-082070

Provider Information


Jurgens Park Senior Living

17950 SW 115TH AVE
Tualatin, OR 97062

Provider ID
50A143
Administrator
Amanda Al-Fartosi
Phone
(503) 692-1748
Email
amanda.alfartosi@sincerisl.com

Violation Details


Date
10/11/2020
Report number
00107206-AP-082070
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to administer ordered medication
Result
Substantiated
Findings
Alleged Victim (AV) relies on the facility to administer his/her medications and has a specific medication administer once a week, on Sundays. On or about October 11, 2020, Alleged Perpetrator 2 (AP2) failed to administer AV’s medication. AV informed AP2 that there was additional medication that needed to be provided to him/her, but AP2 failed to provide the additional medication as prescribed. AP2 failed to administer ordered medication, which is neglect of care and constitutes abuse. The facility failed to provide a safe medication administration system, which is a violation of Oregon Administrative Rules.