Print Violation: 00315687-AP-267918

Provider Information

The Springs at Willowcreek

4398 GLENCOE ST NE
Salem, OR 97301

Date: 1/23/2024
Report number: 00315687-AP-267918
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: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
External site: 411-054-0070(9)(c)
Findings: The Alleged Victim (AV) was actively dying and was scheduled to receive narcotic medication 4 times a day and as needed for pain. On or about January 22, 2024, AV received his/her pain medication at 8:30 PM. AV did not receive his/her medication again until January 23, 2024, at 4:30 AM. There was a language barrier with night shift staff, which contributed to AV not receiving his/her medication as ordered. AV suffered unreasonable discomfort due to not receiving his/her narcotic medication as ordered. The respondent failed to ensure medications were administered as ordered, and ensure staff have sufficient communication and language skills to perform their duties and communicate with residents and staff. These actions constitute abuse by neglect as defined by OAR 411-020-0002(1)(b)(A)(i) .
Sanction: RCFCP26-00240 $500.00 fine assessed