Print Violation: 00371303-AP-321660

Provider Information

Calaroga Terrace Senior Living

1400 NE SECOND AVE
Portland, OR 97232

Date: 12/8/2024
Report number: 00371303-AP-321660
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: 411-05-0055(1)(f)
411-054-0025(1)(a) and (b)
Findings: On or about December 8, 2024, around 10:00 AM, Alleged Perpetrator 2 (AP2) administered Alleged Victim (AV) the wrong morning medications. AV is a resident of the facility. Based on facility documentation and interviews, as a result of AP2's medication administration error, AV experienced dizziness, lightheadedness, blurred vision, and low blood pressure. Although trained in proper medication administration, AP2 failed to perform required verification checks. AP2's actions caused physical harm and serious risk to AV, which is considered neglect of care and constitutes abuse. The facility also failed to maintain a safe medication administration system for AV, violating Oregon Administrative Rules.