Print Violation: 00328692-AP-280025

Provider Information

Avamere Living at Newberg

730 FOOTHILLS DRIVE
Newberg, OR 97132

Date: 4/16/2024
Report number: 00328692-AP-280025
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: 411-054-0055(1)(a) and (f)
Findings: On or about April 16, 2024, Alleged Victim (AV) requested his/her pain medication. AV has a PRN for a narcotic pain medication. Instead of giving AV his/her requested pain medication, Alleged Perpetrator 2 (AP2) gave AV a different than routine dose of AV's anxiety medication and told AV it was his/her pain medication. Based on facility documentation and interviews, AV's routine dose of bedtime anxiety medication was not given. As a result of AP2's actions, AV experienced increased tremors, increased confusion, was very tired, and was worried about medication errors causing AV to feel scared about taking his/her medication. AP2's action is considered neglect of care which constitutes abuse and is considered neglect of care. The facility failed to provide a safe medication administration system which is a violation of Oregon Administrative Rules.