Print Violation: 00222639-AP-181326

Provider Information

Dallas Retirement Village Assisted Living

340 NW BRENTWOOD ST
Dallas, OR 97338

Date: 6/1/2022
Report number: 00222639-AP-181326
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)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and f)
Findings: The facility failed to provide a safe medication administration system to ensure the Alleged Victim (AV) medications were administered as prescribed. Per documentation, approximately between June 2022 to September 2022 AV missed h/h eye drop medication several times. The failure resulted in AV experiencing repeated unreasonable pain, and discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: ALFCP23-00129 $1500.00 fine assessed