Print Violation: 00301309-AP-363665

Provider Information

Avamere at Chestnut Lane

1219 NE 6TH STREET
Gresham, OR 97030

Date: 12/12/2023
Report number: 00301309-AP-363665
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)(g) and (s)
411-054-0028(2)
411-054-0055(1)(a) and (f)
Findings: On or about December 12, 2023, an investigation determined that the facility failed to provide adequate training and oversite to ensure staff packed the appropriate medications for Alleged Victim's (AV) trip away from the facility to visit Witness 1 (W1), resulting in AV's unreasonable discomfort when AV's [GABA analogue medication] was not available for administration. The facility's failure to provide a safe medication system for AV is a violation of resident rights, is considered neglect of care which constitutes abuse.
Sanction: ALFCP25-00340 $500.00 fine assessed