Print Violation: 00306696-AP-259570

Provider Information

Grande Ronde Retirement Residence

1809 GEKELER LANE
La Grande, OR 97850

Date: 1/10/2024
Report number: 00306696-AP-259570
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)(r)
411-054-0055(1)(a) and (f)
Findings: On or about January 10, 2024, Alleged Perpetrator #2 (AP2) gave the incorrect medication to the Alleged Victim (AV). AV is not a fall risk, however, the day after the medication error, AV suffered a fall causing his / her toe to become bruised. AP2's failure to administer the correct medication caused a risk of harm to AV. AP2's actions are a violation of resident rights, are considered neglect of care and constitute abuse. The facility's failure to provide a safe medication administration system is a violation of Oregon Administrative Rules.