Print Violation: 00284513-AP-239040

Provider Information

Prestige Senior Living Five Rivers

3500 12TH STREET
Tillamook, OR 97141

Date: 9/3/2023
Report number: 00284513-AP-239040
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to provide a safe medication administration system
Result: Substantiated
Rule(s) Violated: External site: 411-054-0027(1)(f)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings: The Alleged Victim (AV) relies on the facility to manage his/her medications. According to an investigation, AV ran out of his/her narcotic pain medication and did not receive the medication for approximately six days, resulting in AV being sent to the hospital where he/she experienced withdrawal symptoms. The facility failed to provide a safe medication administration system to ensure AV’s pain medication was available to be administered as ordered, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: ALFCP23-00783 $500.00 fine assessed