Print Violation: 00270699-AP-225581

Provider Information

Everbloom Memory Care

2630 CHURCH ST NE
Salem, OR 97301

Date: 6/23/2023
Report number: 00270699-AP-225581
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: 411-054-0025(1)(a) and (b)
411-054-0027(1)(f) and (r)
Findings: The Alleged Perpetrator 2 failed to provide a safe medication administration system to ensure the Alleged Victim's medication was administered as ordered. The failure resulted in AV receiving his/her opioid medication approximately four hours early, causing risk of harm, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to ensure AV's medication was administered as ordered which is a violation of Oregon Administrative Rules.