Print Violation: 00240868-AP-197644

Provider Information

McMinnville Memory Care

320 SW HILL ROAD
Mcminnville, OR 97128

Date: 1/10/2023
Report number: 00240868-AP-197644
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to provide a safe medication administration system
Result: Substantiated
Rule(s) Violated: External site: 411-054-0027(1)(f)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings: The facility failed to provide a safe medication administration system to ensure The Alleged Victim’s (AV) medications were administered as ordered. Based on facility documentation and interviews, AV was not administered any of his/her medication for three to four days after moving into the facility on January 5, 2023. AV was transported to the hospital on January 10, 2023, where it was discovered that AV had a stroke. AV takes blood thinner medication to prevent a stroke and facility failed to give AV his/her blood thinner medication as ordered. The failure resulted in unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP23-00218 $375.00 fine assessed