Print Violation: 00135738-AP-106561

Provider Information

Guardian Angel Homes Memory Care

540 NW 12TH ST
Hermiston, OR 97838

Date: 4/11/2021
Report number: 00135738-AP-106561
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)(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 April 11, 2021, Alleged Perpetrator 2 (AP2) failed to follow Alleged Victim's (AV) doctor's orders for narcotic pain medication management. An investigation determined that AV was discharged from hospital with a doctor's orders for AV to receive narcotic pain medication to be given every six hours as needed. AP2 reconciled AV's discharge paperwork and noted the prescription order for AV's narcotic medication. AP2 advised staff to only give AV two narcotic pain pills a day instead of one every six hours as needed. AP2's action is considered neglect of care which constitutes abuse. The facility's failure to provide a safe medication administration system for AV is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP21-03502 $1000.00 fine assessed