Print Violation: 00357875-AP-308311

Provider Information

Newberry Estates Senior Living Community

1010 NE PURCELL BLVD
Bend, OR 97701

Date: 9/30/2024
Report number: 00357875-AP-308311
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: 411-054-0055(1)(a) and (f)
Findings: An investigation determined the facility failed to provide a safe medication administration system to ensure The Alleged Victim’s (AV) medications were administered as ordered. AV did not suffer a negative outcome as result of missing medications; however, the facility failed to ensure a safe medication administration system by failing to ensure staff are properly trained to complete refill orders. The facility's failure is violation of Oregon Administrative Rules.