Print Violation: 00197179-AP-158188

Provider Information

Macdonald Residence

605 NW COUCH STREET
Portland, OR 97209

Date: 4/27/2022
Report number: 00197179-AP-158188
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)
Findings: On or about April 27, 2022, the Alleged Victim (AV) was given medication that belonged to another resident. Alleged Perpetrator #3 (AP3) was training Alleged Perpetrator # (AP2) when AP2 gave the incorrect medication to AV. AP3 noticed that AV had been given incorrect medication and notified AV's Physician and the facility Nurse. Staff monitored AV and noticed his/her blood pressure was very low. AV was sent out to the emergency department where he/she was diagnosed with accidental overdose and was given medication to increase his/her heart rate. AP3's failure is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility's failure to ensure a safe medication administration system is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: ALFCP23-00097 $375.00 fine assessed