Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: 00327928-AP-279265

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
4/27/2024
Report number
00327928-AP-279265
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 his/her medication from facility staff. On or about April 27, 2024, AV was not given his/her medication as ordered. AV's missed medications were not properly recorded on the facility medication administration system. Alleged Perpetrator #2 (AP2) failed to administer or record AV's medication. AP2 was not properly trained prior to providing medication administration. The facility's failure to provide proper training and have a safe medication administration system is a violation of Oregon Administrative Rules.