Print Violation: 00215316-AP-174555

Provider Information

Jurgens Park Senior Living

17950 SW 115TH AVE
Tualatin, OR 97062

Date: 8/11/2022
Report number: 00215316-AP-174555
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)(r)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
External site: 411-054-0070(6)(a)(b)(G)
Findings: On or about August 11, 2022, Witness #3 (W3) was training Alleged Perpetrator #2 (AP2) on medication administration. AP2 was not supposed to be dispensing medications, rather watching W3 to learn the position. AP2 administered medication to the Alleged Victim (AV) that was meant for another resident. AV had a reaction to the medication where his/her heart rate dropped and was unconscious. AV was transported to the hospital for evaluation. The facility's failure to provide a safe medication administration system is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP22-01563 $375.00 fine assessed