Print Violation: 00132023-AP-103341

Provider Information

Autumn House of Grants Pass

2268 WILLIAMS HWY
Grants Pass, OR 97527

Date: 3/27/2021
Report number: 00132023-AP-103341
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to provide a safe medication administration system
Result: Substantiated
Rule(s) Violated: External site: 411-054-0027(1)(f)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings: The facility failed to provide a safe medication administration system to ensure The Alleged Victim’s (AV) medications were administered as ordered. The failure resulted in AV experiencing an unwitnessed fall and was transported to the hospital for treatment, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP21-02714 $500.00 fine assessed