Print Violation: 00175852-AP-139652

Provider Information

Willow Creek Assisted Living

175 NE 16TH STREET
Madras, OR 97741

Date: 12/21/2021
Report number: 00175852-AP-139652
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)
411-054-0028(2)
411-054-0055(1)(a) and (f)
Findings: The facility and Alleged Perpetrator #2 (AP2) failed to provide a safe medication administration system to ensure the Alleged Victim (AV) received his/her proper medication. On or about December 21, 2021, AP2 gave AV medication that did not belong to AV. AV was sent to the emergency room for observation. AP2's actions placed AV at risk for harm, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility's failure is a violation of Oregon Administrative Rules.