Print Violation: 00108287-AP-083033

Provider Information

Morningstar Assisted Living of Beaverton

14475 SW BARROWS RD
Beaverton, OR 97007

Date: 9/26/2020
Report number: 00108287-AP-083033
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: 411-054-0030(1)(f)
External site: 411-054-0055(1)(a) and (f)
Findings: On or about September 26, 2020, the Alleged Victim (AV) was given his/her "as needed" medication on three occasions by three different people, placing AV at risk for harm. Alleged Perpetrator #2 (AP2) gave AV his/her as needed medication after it had already been given by another employee. Alleged Perpetrator #3 (AP3) did the same, and also gave AV the same medication. These administrations of medication all happened within 3 hours, prescription dictates AV should only have this medication 1 time every 8 hours. AP2 and AP3 failed to follow protocol of checking the Medication Administration System to ensure AV's medications were not already given. AP2's and AP3's failure is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility's failure to provide a safe medication administration system is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: ALFCP21-01389 $250.00 fine assessed