Print Violation: 00238740-AP-195774

Provider Information

Gilman Grove Assisted Living

2205 GILMAN DRIVE
Oregon City, OR 97045

Date: 12/25/2022
Report number: 00238740-AP-195774
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: 411-054-0025(1)(a) and (b) and 411-054-0027(1)(r)
Findings: According to documentation, Alleged Perpetrator 2 (AP2) failed to provide a safe medication administration system. The failure resulted in the Alleged Victim (AV) receiving another resident’s medication, experienced a fall when ambulating and went to the hospital for evaluation, which is a violation of resident rights and considered neglect. The facility failed to provide a safe medication administration system which is a violation of Oregon Administrative Rules.