Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00110867-AP-085436
Provider Information
Lakeview Senior Living
2690 NE YACHT AVE
Lincoln City, OR 97367
- Provider ID
- 70M053
- Administrator
- Greg Becker
- Phone
- (541) 994-7400
- gbecker@westmontliving.com
Violation Details
- Date
- 11/7/2020
- Report number
- 00110867-AP-085436
- 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: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
- Findings
- Alleged Victim (AV) relies on the facility to administer his/her medication. Between October 14 through November 7, 2020, AV was documented to have not received five (5) doses of his/her metabolic medication, as prescribed by his/her physician. There are no documents showing that Alleged Perpetrator 2 (AP2), delegated AV’s metabolic medication to staff, nor does AP2 remember delegating to staff. There is sufficient information to indicate that AP2 failed to ensure, as the only staff member qualified to provide delegation, that unlicensed facility staff were appropriately delegated to administer AV’s metabolic medication. There is no documentation to show that Alleged Perpetrator 3 (AP3), provided AV with any additional monitoring when he/she did not receive his/her metabolic medications as prescribed, nor is there any documentation to support that AP3 was working to prevent future recurrences. Alleged Perpetrator 4 (AP4) failed to ensure that AV’s metabolic medication was available to AV on a consistent basis, despite being aware that the facility was having trouble obtaining the medication, which resulted in missed or partial doses administered to AV. AP2, AP3 and AP4’s actions are considered neglect and constitute abuse. The facility failed to provide a safe medication administration system for AV, which is a violation of resident rights, is neglect of care and constitutes abuse.
- Sanction
- ALFCP21-02922 $250.00 fine assessed