Print Violation: 00183236-AP-145794

Provider Information

Avamere at Chestnut Lane

1219 NE 6TH STREET
Gresham, OR 97030

Date: 2/8/2022
Report number: 00183236-AP-145794
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: 411-054-0025(1)(a) and (b)
411-054-0027(1)(f)
411-054-0028(2)
411-054-0055(1)(a) and (f)
Findings: Alleged Perpetrator 2 (AP2) neglected Alleged Victim (AV) by failing to administer AV's medication as ordered which resulted in unreasonable discomfort. AP2's actions is considered neglect of care which constitutes abuse. The facility failed to provide a safe medication administration system for AV which resulted in unreasonable discomfort. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse. The allegation that AP2 verbally abused and physically abused AV was investigated and findings determined no wrongdoing/abuse occurred for these two allegations.
Sanction: ALFCP22-01096 $250.00 fine assessed