Print Violation: 00345208-AP-295665

Provider Information

Mt. Bachelor Memory Care

20225 POWERS ROAD
Bend, OR 97702

Date: 7/28/2024
Report number: 00345208-AP-295665
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), 411-054-0027(1)(g) and (s), 411-054-0028(2), 411-054-0055(1)(f)
Findings: The Alleged Victim (AV) relies on the facility to administer his/her medications. According to an investigation, on or about July 28, 2024, the Alleged Perpetrator 2 (AP2) failed to administer medication as ordered when he/she gave AV another resident's medication, resulting in AV being hospitalized for treatment. AP2's actions are considered neglect and constitutes abuse. The facility failed to administer medications as ordered, which violates Oregon Administrative Rules.