Print Violation: 00174742-AP-138751

Provider Information

Pioneer Place Assisted Living

1060 D STREET W
Vale, OR 97918

Date: 11/16/2021
Report number: 00174742-AP-138751
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: 411-054-0028(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 13, 2021, Alleged Perpetrator 2 (AP2) grabbed the wrong medication from the medication cart and administered the wrong blood sugar medication to AV. AP2 failed to provide a safe medication administration system to AV, which is neglect of care and constitutes abuse. The facility failed to provide a safe medication administration system, which is a violation of Oregon Administrative Rules.