Print Violation: 00359285-AP-309626

Provider Information

Dorian Place Assisted Living Facility

375 N DORIAN DR
Ontario, OR 97914

Date: 10/9/2024
Report number: 00359285-AP-309626
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)(f)
Findings: According to the documentation, the facility failed to provide a safe medication administration system by not having the Alleged Victim’s (AV) pain medication available when they returned to the facility. On or about September 10, 2024, the AV returned to the facility with orders for pain medication. Upon the AV’s return, the facility ordered the medication after the AV was admitted back to the facility. It wasn’t until approximately September 12, 2024, at around 2:30 pm when the first pain medication was administered to treat the AV’s pain. The AV was in pain for approximately two days before receiving prescribed pain medication, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: ALFCP25-00196 $500.00 fine assessed