Print Violation: 00179550-AP-142701

Provider Information

Windsong at Eola Hills

2030 WALLACE ROAD NW
Salem, OR 97304

Date: 1/5/2022
Report number: 00179550-AP-142701
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: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(r)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
External site: 411-054-0070(1)
Findings: On or about January 5, 2022, the Alleged Victim (AV) was prescribed medication to prevent strokes. AV's medication was placed in the MAR, however, the medication was not administered by Alleged Perpetrator #2 (AP2) from January 5, 2022 to January 12, 2022. AV had received his/her AM doses of this medication, it was only the PM doses that were missed. AV did not have any adverse reactions, however, AV was placed at risk for harm by missing prescribed medications. AP2 was not properly trained in medication administration until after this incident. The allegation of abuse against AP2 is not substantiated. The facility failure to provide proper training and a safe medication administration system is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP22-00632 $188.00 fine assessed