Print Violation: 00232276-AP-190179

Provider Information

Hawthorne Gardens Memory Care Community

2828 SE TAYLOR ST
Portland, OR 97214

Date: 11/16/2022
Report number: 00232276-AP-190179
Type: Abuse: Neglect
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)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and f)
Findings: The facility was implementing a new computer-based MAR system on or around October 2022. On or about November 16, 2022, Alleged Perpetrator #2 (AP2) and Alleged Perpetrator #3 (AP3) administered Alleged Victim (AV) medication belonging to another resident, causing his or her blood sugar to drop and exposing risk of serious harm to AV. The allegation that AP2 and AP3 failed to provide a safe medication administration system was investigated and the determination was not substantiated. The facility failed to provide a safe medication system which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP23-00288 $188.00 fine assessed