Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00130450-AP-101910
Provider Information
Mcloughlin Place Senior Living
1153 MOLALLA AVE
Oregon City, OR 97045
- Provider ID
- 70M059
- Administrator
- April Potter
- Phone
- (503) 655-3337
- april.potter@mcloughlinplace.net
Violation Details
- Date
- 2/23/2021
- Report number
- 00130450-AP-101910
- Type
- Licensing Violation
- 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: 411-054-0028(2)(411-054-0055(1)(a) and (f)
- Findings
- Alleged Victim (AV) relies on the facility to administer his/her medication. On or about February 24, 2021, Alleged Perpetrator 2 (AP2) mistakenly gave AV incorrect doses of medication A and B. Despite being retrained, on March 11, 2021, AP2 made a similar mistake of giving AV the wrong dose of medication A. AP2 failed to provide a safe medication administration system, which is neglect of care and constitutes abuse. The facility failed provide a safe medication administration system, which is a violation of Oregon Administrative Rules.