Print Violation: 00165388-AP-131183

Provider Information

Rose Linn Vintage Place

2330 DEBOK ROAD
West Linn, OR 97068

Date: 10/14/2021
Report number: 00165388-AP-131183
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) and 411-054-0027(1)(r)
Findings: According to documentation Alleged Perpetrator (AP2) and (AP3) failed to follow the facility protocols of a safe medication administration system. The failure resulted in the Alleged Victim (AV) receiving the wrong medications and needed to be placed on alert charting and experienced drowsiness and unreasonable discomfort, which is a violation of resident rights, is considered abuse. The facility failed to provide a safe medication administration system which is a violation of Oregon Administrative Rules.