Print Violation: 00115815-AP-089553

Provider Information

Mcloughlin Place Senior Living

1153 MOLALLA AVE
Oregon City, OR 97045

Date: 11/18/2020
Report number: 00115815-AP-089553
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: 411-054-0027(1)(f) and (r)
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. AV was prescribed PRN Oxycodone and his/her last known prescription refill was on August 20, 2020, for 90 tablets. On or about November 18, 2020, 78 of AV’s prescribed Oxycodone tablets were reported missing. Alleged Perpetrator 2 (AP2) assumed primary responsibility for medication administration, destroying medication as needed, ordering medication, and documenting in the NARC books. The facility did not have a system to audit narcotic books prior to November 14, 2020. AP2 and the facility failed to provide a safe medication administration system, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: ALFCP22-01001 $500.00 fine assessed