Print Violation: 00175573-AP-139387

Provider Information

Golden Years Manor Alameda

1310 SW 12TH AVE
Ontario, OR 97914

Date: 12/13/2021
Report number: 00175573-AP-139387
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: 411-054-0025(1)(a) and (b)
411-054-0027(1)(r)
Findings: According to documentation, the Alleged Perpetrator 2 failed to provide a safe medication administration system to ensure the AV's medication was administered as ordered and instead gave AV medication of another resident, the failure placed AV at risk of serious harm, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to protect AV from neglect, which is a violation of Oregon Administrative Rules.