Aging and People with Disabilities
Safety, Oversight and Quality
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
- 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
- Rule(s) Violated
-
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
- 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.