Print Violation: 00156513-AP-124083

Provider Information

Pheasant Pointe Memory Care Community

835 E MAIN STREET
Molalla, OR 97038

Date: 8/19/2021
Report number: 00156513-AP-124083
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failure to provide a system that prevents theft or misuse of medication
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)(e)(f) and (i)
Findings: On or about August 19, 2021, the facility completed an audit of medication and the Alleged Victim's (AV) morphine was found to be diluted. AV appeared to be in pain, even after given morphine. An unknown person, Alleged Perpetrator #2 (AP2) has diluted morphine at the facility, which placed AV at risk for harm, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to provide a medication system that prevents loss or theft of medication, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP21-03518 $1125.00 fine assessed