Print Violation: 00383998-AP-334486

Provider Information

River Terrace Memory Care

950 SOUTH END RD
Oregon City, OR 97045

Date: 2/16/2025
Report number: 00383998-AP-334486
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: 411-054-0055(1)(f)
Findings: The Alleged Victim (AV) relies on the facility for care and for medication administration. On or about February 16, 2025, AV was given a double dose of narcotic pain medication by the Alleged Perpetrator 2(AP2). AP2 had not fully completed all medication pass training at the time of the medication error. An investigation determined no abuse occurred by the facility or AP2, and there was no negative outcome to AV. The facility failed to ensure AVs medications were given according to physician orders, which is a violation of Oregon Administrative Rules.