Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00303375-AP-256381
Provider Information
Morningstar Memory Care at Laurelhurst
3140 NE SANDY BLVD
Portland, OR 97232
- Provider ID
- 50R518
- Administrator
- Javarion Nix
- Phone
- (971) 544-8100
- laurel.wn@mstarliving.com
Violation Details
- Date
- 12/17/2023
- Report number
- 00303375-AP-256381
- Type
- Abuse: Neglect
- Level
- 4 - Serious harm, death, imminent danger or chronic regulatory noncompliance
- 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(g)
External site: 411-054-0028(2)
External site: 411-054-0040(1)(b) and (c)
External site: 411-054-0055(1)(a) and (f)
- Findings
- On or about December 17, 2023, Alleged Victim (AV) went to the emergency room due to AV suffering from a medical event that affected his/her left side. AV suffered a stroke, and AV did not return to the facility until December 22, 2023, with hospice enrollment. Based on facility documentation and interviews, AV missed 7 doses of his/her blood thinner medication in October 2023, AV missed 19 doses of his/her blood thinner medication in November 2023, and AV missed 12 doses of his/her blood thinner medication in December 2023. AV is prescribed to take his/her blood thinner medication daily. AP2 is responsible to ensure that all medications prescribed are available by auditing the medication records and cart twice weekly. AP2 did not notice that AV had missed his/her blood thinner medications, contributing to AV missing multiple doses of his/her blood thinner medication. AP2's failure to provide basic care and services necessary to maintain AV's health and safety, resulted in serious physical harm. AP2's actions is considered neglect of care which constitutes abuse. The facility failed to ensure AV received the prescribed dosage of his/her blood thinner medication at the prescribed times. The facility's failure to provide a safe medication administration system, caused AV's health to significantly decline as a result of AV's stroke due to AV not getting his/her blood thinner medication as ordered. AV passed away in January 2024. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP24-00897 $1500.00 fine assessed