Print Violation: 00222508-AP-181205

Provider Information

Merrill Gardens at Sheldon Park

2440 WILLAKENZIE ROAD
Eugene, OR 97401

Date: 9/22/2022
Report number: 00222508-AP-181205
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: 411-054-0027(1)(f)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings: Alleged Perpetrator 2 (AP2) failed to provide a safe medication administration system to ensure The Alleged Victim’s (AV) medications were administered as ordered. On or about September 22, 2022, AP2 administered AV medication that belonged another resident placing him/her at risk of serious harm. AP2's actions are considered neglect of care and constitutes abuse. The facility failed to provide a safe medication administration system which is a violation of Oregon Administrative Rules.