Print Violation: 00237150-AP-194426

Provider Information

Everbloom Memory Care

2630 CHURCH ST NE
Salem, OR 97301

Date: 12/18/2022
Report number: 00237150-AP-194426
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: 411-054-0025(1)(a) and (b)
411-054-0027(1)(f) and (r)
411-054-0028(2)
411-054-0055(1)(a) and f)
Findings: The facility failed to provide a safe medication administration system to ensure the Alleged Victim (AV)s medication was administered as ordered. On or about December 18, 2022, documentation indicates AV received h/h insulin late resulting in risk of serious harm. The facility’s failure is a violation of resident rights, is considered neglect of care and constitutes abuse. The allegation that Alleged Perpetrator #2 (AP2) failed to administer AV morning medication was investigated, and determined Not Substantiated.
Sanction: RCFCP23-00226 $188.00 fine assessed