Print Violation: 00270064-AP-224973

Provider Information

Mountain Park Memory Care Community

13600 SE 122ND AVE
Clackamas, OR 97015

Date: 6/12/2023
Report number: 00270064-AP-224973
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: 411-054-0025(1)(a) and (b)
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: The facility, and Unknown Alleged Perpetrator 3 (AP3) failed to provide a safe medication administration system. On or about June 12, 2023, through June 22, 2023, AV was observed by family to be experiencing a change of mood, being withdrawn, constipated, and complained of pain. During a doctor’s appoint on or about June 22, 2023, it was discovered AV had another resident’s medication patch on h/h back. It is unknown for exactly how long AV had the patch on since it was not dated. The allegation that AP2 failed to provide a safe medication administration system, was investigated and the determination was not substantiated. The facility, and AP3’s failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP23-01465 $500.00 fine assessed