Print Violation: 00187468-AP-149471

Provider Information

Tanner Spring Memory Care

23000 HORIZON DRIVE
West Linn, OR 97068

Date: 3/3/2022
Report number: 00187468-AP-149471
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)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings: The facility failed to provide a safe medication administration system by not ensuring staff were trained in medication administration which resulted in Alleged Victim (AV) being administered the wrong medication. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse. The allegation that Alleged Perpetrator 2 (AP2) neglected AV was investigated and findings determined no wrongdoing/abuse occurred.
Sanction: RCFCP22-01495 $188.00 fine assessed