Print Violation: 00170427-AP-135291

Provider Information

Settler's Park Memory Care Community

2895 17TH ST
Baker City, OR 97814

Date: 11/15/2021
Report number: 00170427-AP-135291
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: 411-054-0027(1)(f) and (r)
External site: 411-054-0027(2)
External site: 411-054-0055(1)(a) and (f)
Findings: Alleged Victim (AV) relies on the facility to administer his/her medication. On or about November 14, 2021, while cleaning AV after finding medication ointment, staff found one of AV’s whole, uncrushed prescribed pain pills under his/her bed. The pill was given to the med tech, who did verify that it was one of AV’s. Alleged Perpetrator 2 (AP2) did not crush medication as mentioned in the Medication Administration Record (MAR). AP2 failed to provide to provide a safe medication administration system, which is neglect of care and constitutes abuse. The facility failed to assure AV was provided a safe medication administration system, which is a violation of Oregon Administrative Rules.