Print Violation: 00239674-AP-197187

Provider Information

Macdonald Residence

605 NW COUCH STREET
Portland, OR 97209

Date: 1/2/2023
Report number: 00239674-AP-197187
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)
External site: 411-054-0027(1)(f)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings: Alleged Perpetrator 2 (AP2) failed to ensure the Alleged Victim’s (AV) medications were administered as ordered. On or about January 2, 2023, AP2 administered an incorrect dose of blood pressure medication to the AV causing AV’s blood pressure to drop, resulting in AV feeling dizzy, shaky, and weak. AP2’s actions caused AV unreasonable discomfort, are a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to provide a safe medication administration system which is a violation of Oregon Administrative Rules.