Print Violation: 00373207-AP-323581

Provider Information

Dallas Retirement Village Memory Care Center

377 NW JASPER ST
Dallas, OR 97338

Date: 12/17/2024
Report number: 00373207-AP-323581
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: 411-054-0030(1)(f)
External site: 411-054-0055(1)(a) and (f)
Findings: On or about December 17, 2024, Alleged Perpetrator #2 (AP2) failed to pass 8PM medications due to AP2 not adjusting the medication administration system to match the correct shift. AP2 failed to reach out for assistance once that error was discovered. AP2 was trained in the medication administration management system and shift change procedure. AP2’s actions are a violation of resident rights, considered neglect of care and constitutes abuse. The facility failed to provide a safe medication administration system and provide oversight to AP2 which violates Oregon Administrative Rules.