Print Violation: 00365875-AP-316110

Provider Information

Washington Gardens Memory Care

9000 SW 91ST AVENUE
Tigard, OR 97223

Date: 11/10/2024
Report number: 00365875-AP-316110
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)(a) and (f)
Findings: On or about November 11, 2024, the Alleged Victim (AV) was to receive his/her medication that controls blood sugar. The facility did not have enough of the medication to give AV his/her full dosage. Staff failed to track AV's medication to ensure there was enough medication and re-order his/her medication timely. AV did not receive a full dose of his/her medication as ordered, which placed AV at risk for harm. The facility's failure to provide a safe medication administration system is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP25-00389 $250.00 fine assessed