Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00354332-AP-304663
Provider Information
Kelly Gardens Residential Care
813 NE KELLY AVE
Gresham, OR 97030
- Provider ID
- 50R504
- Administrator
- Peyton Brammer
- Phone
- (971) 274-2751
- ed@kellygardensresidential.com
Violation Details
- Date
- 9/2/2024
- Report number
- 00354332-AP-304663
- 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
-
411-054-0025(1)(a) and (b)
411-054-0055(1)(a) and (f)
- Findings
- Between September 2, 2024, and September 4, 2024, Alleged Victim (AV) was not administered his/her laxative medication as order. AV did not experience a risk of harm from missing a few doses of his/her laxative medication. However, the facility failed to provide a safe medication administration system which is a violation of Oregon Administrative Rules. Alleged Perpetrator 2 (AP2) and Alleged Perpetrator 3 (AP3) allegedly neglected AV. An investigation determined no abuse occurred by AP2 and AP3.