Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00219413-AP-178314
Provider Information
Forest Glen Senior Living
200 SW FRONTAGE RD
Canyonville, OR 97417
- Provider ID
- 50M209
- Phone
- (541) 839-4266
- louise.cousins@forestglenseniorresidence.com
Violation Details
- Date
- 9/3/2022
- Report number
- 00219413-AP-178314
- 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: 411-054-0025(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 September 3, 2022, Alleged Perpetrator #2 (AP2) administered the incorrect medication to the Alleged Victim (AV). AV did not have any negative outcome, however, AV was placed at risk for harm. AP2's actions are a violation of resident rights, are considered neglect of care and constitute abuse. The facility failure is a violation of Oregon Administrative Rules.