Print Violation: 00265536-AP-220596

Provider Information

Hawthorne Gardens Senior Living Community

2828 SE TAYLOR ST
Portland, OR 97214

Date: 5/28/2023
Report number: 00265536-AP-220596
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: 411-054-0055(1)(a) and (f)
Findings: The facility and Alleged Perpetrator 2 failed to provide a safe medication administration system to ensure the Alleged Victim's medication was administered as ordered. AP2's failure resulted in AV being administered another residents medication causing unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility's failure is a violation of Oregon Administrative Rules.