Print Violation: 00250860-AP-206625

Provider Information

Dorian Place Assisted Living Facility

375 N DORIAN DR
Ontario, OR 97914

Date: 3/8/2023
Report number: 00250860-AP-206625
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: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings: Alleged Victim (AV) relies on the facility for his/her care. AV has a PRN nebulizer. Alleged Perpetrator 2 (AP2) stated he/she recalls AV asking for the PRN nebulizer treatment; AP2 responded to AV by explaining he/she would bring it to AV when he/she was free, but he/she wasn’t going to drop everything and needed to finish setting up scheduled medication pass before he/she would be able to give AV his/her requested PRN nebulizer treatment. As a result, AP2 deviated from policy for medication administration there fore the allegation that AP2 neglected AV is substantiated. AP2 failed to provide a safe medication administration system for AV, which is a neglect of care and constitutes abuse. The facility failed to provide a safe medication administration system for AV, which is a violation of Oregon Administrative Rules.