Print Violation: 00130517-AP-101963

Provider Information

Pioneer Village

805 N 5TH ST
Jacksonville, OR 97530

Date: 11/30/2020
Report number: 00130517-AP-101963
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 December 1, 2020, the Alleged Victim's (AV) medications were found at his/her bedside not taken, that were administered by Alleged Perpetrator #2 (AP2) on November 30, 2020. Staff had reported concerns regarding AP2's ability to provide a safe medication administration system. An investigation determined no abuse or wrongdoing occurred by Alleged Perpetrator #3. 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: ALFCP21-01552 $500.00 fine assessed