Print Violation: 00177346-AP-140898

Provider Information

Waterhouse Ridge Memory Care Community

1115 NW 158TH AVENUE
Beaverton, OR 97006

Date: 12/1/2021
Report number: 00177346-AP-140898
Type: Abuse: Neglect
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 November 21, 2021, AV went to the ER for altered mental status. AV was on (cognitive disease medication) at that time, which causes AV confusion. AV’s PCP cancelled that medication and changed to a different medication. On or about December 1, 2021, AV was discharged with orders to the facility for a medication change. On or about December 29,2021, AV returned to the ER with altered mental status again. The facility did not discontinue the (cognitive disease medication) which caused for AV to return to the hospital once again with altered mental status. The facility failed to provide a safe medication administration system for AV, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP23-00918 $250.00 fine assessed