Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: 00320986-AP-272804

Provider Information


Princeton Village Assisted Living Community

14370 SE OREGON TRAIL DRIVE
Clackamas, OR 97015

Provider ID
70M213
Administrator
Mikayla Valencia
Phone
(503) 558-1215
Email
mikayla.valencia@cogirusa.com

Violation Details


Date
3/17/2024
Report number
00320986-AP-272804
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide a safe medication administration system
Result
Substantiated
Findings
The Alleged Victim (AV) receives blood sugar medication once per day, administered by the facility. On or about March 17, 2024, Alleged Perpetrator #2 (AP2) failed to schedule staff who were properly delegated to administer blood sugar medication, therefore, AV failed to receive his/her medication as required. The facility's failure to provide appropriate staff to administer medication is a violation of Oregon Administrative Rules.