Print Violation: 00210123-AP-169819

Provider Information

Merrill Gardens at Sherwood Memory Care

16872 SW EDY ROAD
Sherwood, OR 97140

Date: 7/6/2022
Report number: 00210123-AP-169819
Type: Licensing Violation
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: 411-054-0055(1)(a)
Findings: Alleged Victim (AV) relies on the facility for his/her care. On or about July 6, 2022, it was discovered that AV was missing narcotic medication from the facility medication cart. During the investigation it was discovered that the Alleged Perpetrator 2 (AP)2) was observed on video removing the medication cart from the medication room, out of the view of facility cameras, as well as returning to the medication room and placing items in his/her bag/backpack. AP2 signed out at least 7 doses of narcotics that were not administered to AV. AP2’s actions are considered theft and financial exploitation and constitute abuse. The investigation into the facility's responsibility of neglect of care resulting in abuse was inconclusive. The facility failed to provide a safe medication administration system which is a violation of Oregon Administrative Rules.