Print Violation: 00109055-AP-083739

Provider Information

Redwood Heights Retirement and Assisted Living Community

4050 12TH ST CUTOFF SE
Salem, OR 97302

Date: 10/22/2020
Report number: 00109055-AP-083739
Type: Licensing Violation
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: 411-054-0055(1)(a) and (f)
Findings: On or about October 22, 2020, Alleged Perpetrator #2 pre-popped medications for the Alleged Victim (AV) and another residents at the same time, entered AV's room with both sets of medications and gave AV incorrect medication. AV did not have a serious reaction to the medications, however, AP2's actions placed AV at risk for harm, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failure is a violation of Oregon Administrative Rules.