Print Violation: 00124509-AP-096821

Provider Information

Pioneer Village

805 N 5TH ST
Jacksonville, OR 97530

Date: 11/3/2020
Report number: 00124509-AP-096821
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to administer ordered medication
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: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings: On or about November 3, 2020, Alleged Perpetrator 2 (AP2) was administering the Alleged Victim's (AV) medication and at the end of his/her shift, AP2 left the facility with AV’s narcotic medication in his/her pocket. As AP2 was driving home he/she realized that AV’s medication was in his/her pocket and returned to the facility to give AV their narcotic medication. There have been irregularities noted regarding missing medications while AP2 has been on the medication cart which have been reported, but no action had been taken by the facility. AP2 would take AV’s narcotic pain medication by themselves instead of taking a second staff member as required per facility policy. AP2 and the facility failed to provide a safe medication administration system, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: ALFCP21-01543 $500.00 fine assessed