Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00327304-AP-278735
Provider Information
Bridgecreek Memory Care
1401 S 12TH STREET
Lebanon, OR 97355
- Provider ID
- 50A253
- Administrator
- Jennifer Parker
- Phone
- (541) 259-1779
- jparker@sapphirehealthservices.com
Violation Details
- Date
- 4/23/2024
- Report number
- 00327304-AP-278735
- Type
- Licensing Violation
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to administer medication as ordered
- 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: 411-054-0030(1)(f)
External site: 411-054-0055(1)(a) and (f)
- Findings
- Alleged Victim (AV) is administered OTC CBD Cannabis Edibles to help with anxiety and behaviors. On or about April 23, 2024 Witness 3 (W3) and Witness 4 (W4) alerted Alleged Perpetrator 2 (AP2) that AV was seated in the large TV room and appeared to be lethargic, drooling, and less responsive. Vital signs were taken, and AV was hypotensive. AV was cold and clammy to the touch but sweating profusely AV was unable to give a description of what was wrong. AP2 assessed and called 911. AV was taken to the hospital. The emergency room provider notified W1, AV tested positive for THC. It was determined by the facility AP2 unintentionally gave AV another residents' OTC CBD Cannabis Edibles on accident and it did contain THC. AP2 completed all training by the facility to safely pass medications . The failed failed to foresee or prevent the actions or inactions of AP2 intentionally or unintentionally giving AV the wrong medication. . AP2’s actions are a violation of resident rights, are considered neglect of care and constitutes abuse. The facility failed to administer medication as ordered which is a violation of Oregon Administrative Rules.