Print Violation: 00231781-AP-189602

Provider Information

Providence Irvington Village Assisted Living

420 NE MASON
Portland, OR 97211

Date: 11/12/2022
Report number: 00231781-AP-189602
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: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings: Alleged Victim (AV) relies on the facility to administer his/her pain medication. On or about November 12, 2022, between 5:30 PM and 6:00 PM, AV asked a caregiver for medication to relieve pain in his/her feet. A caregiver reportedly contacted Alleged Perpetrator 2 (AP2) several times who said he/she was busy and didn’t have time to respond. AP2 said AV would have to wait. The pain medication is scheduled for application at 8:00 PM, but it can be applied within an hour window beginning at 7:00 PM. AP2 knowns a schedule medication can be applied one hour before the scheduled time. AP2 failed to provide a safe medication administration system for AV, which is a neglect of care and constitutes abuse. The facility failed to assure a safe medication administration system was provided to AV, which is a violation of Oregon Administrative Rules.