Print Violation: 00175701-AP-139506

Provider Information

Azalea Gardens Senior Living

755 ELK DRIVE
Brookings, OR 97415

Date: 12/20/2021
Report number: 00175701-AP-139506
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 medications. On or about December 20, 2021, Alleged Perpetrator 2 (AP2) did not give AV his/her 8:00 pm medication. AP2 failed to provide medication that he/she pre-poured and that was supposed to be given within a two-hour window per company policy. AV was in pain due to the missed medications. AP2 failed to provide a safe medication administration system, which is neglect of care and constitutes abuse. The facility failed to provide a safe medication administration system for AV, which is a violation of Oregon Administrative Rules.