Print Violation: 00206415-AP-166528

Provider Information

Regency Village at Bend

127 SE WILSON AVE
Bend, OR 97702

Date: 6/20/2022
Report number: 00206415-AP-166528
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious 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)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings: The Alleged Victim (AV) receives prescribed medication from the facility. On or about June 20, 2022, AV was given 100 units of a medication that controls blood sugar. AV was only to receive 12 units. AV was later found unresponsive and sent to the hospital for treatment. The facility's medication administration system was not clear on how much medication to give AV, resulting in staff giving 100 units rather than 12 units. The facility's failure to have a medication administration system that depicted clear instructions to staff placed AV at risk for serious harm. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: ALFCP25-00193 $375.00 fine assessed