Print Violation: 00141184-AP-111206

Provider Information

Ascot Park Senior Living

2730 BAILEY LANE
Eugene, OR 97401

Date: 5/19/2021
Report number: 00141184-AP-111206
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: 411-054-0025(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 May 14, 2021, the Alleged Victim (AV) had a medication change. All documentation was correct regarding the medication change, however, Alleged Perpetrator #2 (AP2) failed to catch the change and administered AV both medications on May 18 and May 19, causing AV's blood sugar to drop to 40, requiring AV to visit the hospital. AP2's actions are a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to provide a safe medication administration system, which is a violation of Oregon Administrative Rules.