Print Violation: 00165673-AP-131384

Provider Information

River Terrace Memory Care

950 SOUTH END RD
Oregon City, OR 97045

Date: 10/11/2021
Report number: 00165673-AP-131384
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: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(r)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a), (c) and (f)
Findings: The facility and AP2 failed to provide a safe medication administration system to ensure the AV's medication was administered as ordered. The failure resulted in AV being admitted to the hospital for treatment, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP22-00814 $1500.00 fine assessed