Print Violation: 00115838-AP-089575

Provider Information

Mcloughlin Place Senior Living

1153 MOLALLA AVE
Oregon City, OR 97045

Date: 11/18/2020
Report number: 00115838-AP-089575
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 one (1) Oxycodone every six (6) hours. AV’s last refill of Oxycodone was on October 11, 2020, for 90 tablets. On or about November 18, 2020, seven (7) of AV’s Oxycodone were reported unaccounted for. There were no destruction logs available indicating disposal of AV’s medications. The facility did not have a system in place to audit narcotic books prior to November 14, 2020. 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: ALFCP22-01003 $500.00 fine assessed