Print Violation: 00383286-AP-333784

Provider Information

Cornell Estates Retirement And Assisted Living Residence

1005 NE 17TH AVE
Hillsboro, OR 97124

Date: 2/8/2025
Report number: 00383286-AP-333784
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: External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0055(1)(a) and (f)
Findings: Alleged Victim (AV) is a resident of the facility who requires total assistance with his/her medications. On or about February 12, 2025, it was discovered that Alleged Perpetrator 2 (AP2) failed to administer AV's prescribed medication as ordered between February 8 and February 10, 2025. Based on facility documentation and staff interviews, AP2 did not follow AV's prescribed medication schedule. As a direct result of this failure, AV experienced increased swelling and pain in both feet, causing unreasonable discomfort and pain. AP2’s failure to carry out AV's medication orders as prescribed is considered neglect of care and constitutes abuse. The facility failed to ensure adequate professional oversight of the medication administration system for AV, which is considered a violation of Oregon Administrative Rules.