Print Violation: 00128415-AP-100086

Provider Information

Royalton Place Assisted Living

5555 SE KING RD
Milwaukie, OR 97222

Date: 2/26/2021
Report number: 00128415-AP-100086
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)(f)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and f)
Findings: On or about February 28, 2021, the facility discovered the Alleged Victim (AV) had one (1) full controlled medication card missing. There had been no administration from this prescription, explanation of destruction or evidence of discontinuance. AP2’s Narcotic count was off, and totals were altered to reflect medication that was used up or destroyed which were not documented. AP2’s actions are a violation of resident rights, are considered neglect of care and constitute financial abuse. 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: ALFCP21-03251 $500.00 fine assessed