Print Violation: 00236135-AP-193520

Provider Information

The Springs at Lake Oswego

3900 KRUSE WAY PLACE
Lake Oswego, OR 97035

Date: 12/3/2022
Report number: 00236135-AP-193520
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)(r)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings: The Alleged Victim (AV) was scheduled to receive a pain patch every three days. Staff were to remove the old patch when applying the new patch. Hospice had advised staff to put the patch on different areas of AV's skin to assist with absorption of the medication. On or about December 3, 2022, AV's family member found two pain patches on AV at the same time, placing AV at risk for harm. The facility's failure to provide a safe medication administration system is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: ALFCP23-00303 $500.00 fine assessed