Print Violation: 00399178-AP-349899

Provider Information

Carlty Gardens

2669 S CLOVERLEAF LOOP
Springfield, OR 97477

Date: 11/30/2024
Report number: 00399178-AP-349899
Type: Abuse: Neglect
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: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
External site: 411-054-0070(2)(b)
Findings: The Alleged Victim (AV) relies on the facility to manage his/her medications. According to an investigation, on or about November 30, 2024, AV did not receive his/her mental health medication as ordered, resulting in risk of harm. The facility failed to provide a safe medication administration system. The failure is a violation of resident rights, is considered neglect of care and constitutes abuse. The allegation that AP2 neglected AV was investigated and determined to be inconclusive.