Print Violation: 00265639-AP-220560

Provider Information

Waterhouse Ridge Memory Care Community

1115 NW 158TH AVENUE
Beaverton, OR 97006

Date: 5/28/2023
Report number: 00265639-AP-220560
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 (f)
Findings: Alleged Victim (AV) relies on the facility to administer his/her medication. On or about May 28, 2023, AV missed two (2) doses of his/her insulin due to not having needles available. Staff called the pharmacy around 10:30am and requested a stat order. The order did not arrive until after 10pm. The PM med tech was not able to administer AV’s scheduled dose due to this. As a result of the missed medication, AV was sent to the hospital due to AV’s blood glucose being high and was not returned from the facility until the next day. The facility failed to provide a safe medication administration system, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP23-01040 $375.00 fine assessed