Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00393515-AP-344153
Provider Information
Grande Ronde Retirement Residence
1809 GEKELER LANE
La Grande, OR 97850
- Provider ID
- 70M033
- Administrator
- Kimberly Sieber
- Phone
- (541) 963-4700
- ksieber@granderonderetirement.com
Violation Details
- Date
- 4/2/2025
- Report number
- 00393515-AP-344153
- 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
-
411-054-0025(1)(a) and (b)
411-054-0055(1)(a) and (f)
- Findings
- The facility failed to provide a safe medication administration system to ensure The Alleged Victim’s (AV) medications were administered as ordered. Based on facility documentation and interviews, AV was given another resident's medication in addition to the AV's prescribed medication. This error was done by a staff member in training. AV was observed to have no adverse side effects or any deviation from baseline, there was also no deviation from AV's daily routine as a result of the error. However, the facility did fail to provide a safe medication system which is a violation of Oregon Administrative Rules.