Print Violation: 00265358-AP-220324

Provider Information

Bonaventure of Tigard Assisted Living

15000 SW HALL BLVD
Tigard, OR 97224

Date: 5/23/2023
Report number: 00265358-AP-220324
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: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (r)
Findings: Alleged Victim (AV) relies on the facility to administer his/her medication. On or about May 23, 2023, at about 8pm, AV was given another resident’s medications by Alleged Perpetrator 2 (AP2). This included Donepezil dose and Melatonin dose. Prior history shows that AV has had a total of three (3) medications errors events, which puts AV in risk of harm. None of which were self-reported. AP2 failed to provide a safe medication administration system for AV, which is neglect of care and constitutes abuse. The facility failed to provide a safe medication administration system for AV, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: ALFCP24-00040 $500.00 fine assessed