Print Violation: 00285342-AP-239668

Provider Information

Grande Ronde Retirement Residence

1809 GEKELER LANE
La Grande, OR 97850

Date: 5/31/2023
Report number: 00285342-AP-239668
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: 411-054-0025(1)(a) and (b)
411-054-0027(1)(r)
411-054-0028(2)
411-054-0055(1)(a) and (f)
Findings: On or about May 31, 2023, the Alleged Victim (AV) was given a double dose of anticoagulant medication. The information in the facility's medication administration system was incorrect, leading to the double dosage of AV's medication. The facility's failure to provide a safe medication administration system placed AV at risk for harm. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.