Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: 00175241-AP-139151

Provider Information


Marie Rose Residential Care

17360 HOLY NAMES DRIVE
Lake Oswego, OR 97034

Provider ID
50R401
Administrator
Erin Cornell
Phone
(503) 675-2475
Email
ecornell@maryswoods.org

Violation Details


Date
11/28/2021
Report number
00175241-AP-139151
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide a safe medication administration system
Result
Substantiated
Findings
Alleged Perpetrator 2 (AP2) failed to provide a safe medication administration system to ensure the Alleged Victim’s (AV) medications were administered as ordered. On or about November 28, 2021, AP2 failed remove AV'S Lidocaine patches causing unreasonable discomfort and placing him/her at risk of serious harm. AP2's actions are considered neglect of care and constitutes abuse. The facility failed to provide a safe medication administration system which is a violation of Oregon Administrative Rules.