Print Violation: 00124007-AP-096392

Provider Information

Pioneer Village

805 N 5TH ST
Jacksonville, OR 97530

Date: 2/6/2021
Report number: 00124007-AP-096392
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)(r)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings: On or about February 6, 2021, Alleged Perpetrator 2 (AP2) was on the medication cart and provided the Alleged Victim's (AV) medications. On or about February 7, 2021, AV’s medications from the night prior were found, it appeared that AP2 did not watch AV ingest his/her medications and AV does not have a self-administration order. The facility and AP2 failed to provide a safe medication administration system, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: ALFCP21-01541 $500.00 fine assessed