Print Violation: 00342401-AP-293023

Provider Information

Brookdale Geary Street

2445 GEARY ST SE
Albany, OR 97321

Date: 7/14/2024
Report number: 00342401-AP-293023
Type: Abuse: Neglect
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)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings: According to the documentation, the facility failed to provide a safe medication administration system for the Alleged Victim (AV) by failing to train the Alleged Perpetrator 2 (AP2) appropriately for medication administration. On or about July 14, 2024, (AP2) administered the AV another residents’ medications. Review of the documentation proved the facility failed to properly train the AP2 on medication systems before allowing them to administer medications. The AV suffered unreasonable discomfort due to the medication error, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: ALFCP24-00806 $250.00 fine assessed