Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00365868-AP-316103
Provider Information
Dallas Retirement Village Assisted Living
340 NW BRENTWOOD ST
Dallas, OR 97338
- Provider ID
- 70M018
- Administrator
- Kanoe Creech
- Phone
- (503) 831-0214
- kcreech@drvhome.com
Violation Details
- Date
- 11/9/2024
- Report number
- 00365868-AP-316103
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to administer medication as ordered
- 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: 411-054-0030(1)(f)
External site: 411-054-0036(2)(g)
External site: 411-054-0055(1)(a) and (b)
- Findings
- Alleged Victim (AV's) anticoagulant medication changes frequently based on AV's lab results. AV missed AV's anticoagulant medication on November 9, 2024. AV's medication update faxed to the pharmacy by staff. AV's pharmacy reported they did not receive the updated anticoagulant medication order. AV's risk of harm for missing one dose of anticoagulant medication a potential increase in bleeding and/or blood in AV's stool. The facility failed to administer AV's medication as ordered, which is a violation of Oregon Administrative Rules.