Print Violation: 00326642-AP-278073

Provider Information

Cedarbrook Lodge Senior Living

775 NE 27TH ST
Mcminnville, OR 97128

Date: 4/9/2024
Report number: 00326642-AP-278073
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: External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(s)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings: The Alleged Victim (AV) receives his/her medication from facility staff. On or about April 9, 2024, AV received a double dose of his/her medication. Alleged Perpetrator #2 (AP2) gave AV his/her medication but forgot to sign off his/her medication as being given and another staff gave AV the same medication again. AV did not have any adverse effects from the double medication, however, AV was placed at risk for harm by being given the medication twice. AP2's actions are a violation of resident rights, are considered neglect of care and constitute abuse. The facility's failure is a violation of Oregon Administrative Rules.