Print Violation: 00222155-AP-180868

Provider Information

Dallas Retirement Village Assisted Living

340 NW BRENTWOOD ST
Dallas, OR 97338

Date: 7/27/2022
Report number: 00222155-AP-180868
Type: Licensing Violation
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)(f)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a)
Findings: On or about July 7, 2022, Alleged Perpetrator 2 (AP2) dispensed morning medications to the Alleged Victim(AV). AP2 gave AV an unknown substance that was sitting next to the kitchen sink with a lid on it to take his/her medications. AP2 did not check to see what was in the cup prior to giving it to AV, the liquid was bleach and laundry detergent mixed together. AP2's actions caused unreasonable discomfort and a risk of serious harm, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility’s failure is a violation of Oregon Administrative Rules.