Print Violation: 00237831-AP-195005

Provider Information

Dallas Retirement Village Assisted Living

340 NW BRENTWOOD ST
Dallas, OR 97338

Date: 12/18/2022
Report number: 00237831-AP-195005
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: 411-054-0055(1)(a) and (f)
External site: 411-0540028(2)
Findings: According to the documentation, the facility failed to provide a safe medication administration system by not reordering the Alleged Victim’s (AV) anxiety medication timely. On or about December 18, 2022, the facility ran out of the AV’s anxiety medication and didn’t have any available. The failure resulted in the AV to experience anxiety, stress, and agitation, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: ALFCP24-00258 $375.00 fine assessed