Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00368091-AP-318318
Provider Information
The Springs at Willowcreek
4398 GLENCOE ST NE
Salem, OR 97301
- Provider ID
- 50M174
- Administrator
- Melissa Lackey
- Phone
- (503) 581-4239
- mlackey@thespringsliving.com
Violation Details
- Date
- 10/9/2024
- Report number
- 00368091-AP-318318
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to provide appropriate pain control
- 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(f)
External site: 411-054-0040(1)(b) and (c)
External site: 411-054-0055(1)(a) and (f)
External site: 411-054-0070(1) and (2)
- Findings
- On or about October 8, 2024, and October 9, 2024, the Alleged Victim's (AV) family and hospice requested that AV receive pain medication every hour due to AV being uncomfortable and in pain, as AV was experiencing end of life. Alleged Perpetrator #2 (AP2) was the medication technician on duty at the time of the request. AP2 did not administer the medication, as AP2 stated that AV could not swallow the medication. According to documentation, AV was not given any pain medication until October 9, 2024, at 10:52 PM, The medication given wasn't effective until the third administration and AV was noted to be comfortable and sleeping. AP2's failure to administer medication as ordered caused AV pain and unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse. Respondent failed to ensure AP2 was properly trained and understood how to administer medication to residents at end of life. This constitutes abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(i).
- Sanction
- RCFCP26-00469 $500.00 fine assessed