Print Violation: 00404521-AP-355494

Provider Information

Mcloughlin Place Senior Living

1153 MOLALLA AVE
Oregon City, OR 97045

Date: 5/18/2025
Report number: 00404521-AP-355494
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)(a) and (b)
Findings: Between March 2025, and May 2025, it was discovered that 4 doses of the Alleged Victim's (AV) narcotic medication were crossed out on the narcotic log by Alleged Perpetrator #2 (AP2) and Alleged Perpetrator #3 (AP3). Facility records do not indicate that AP2 or AP3 were trained on medication administration. AV missing his/her narcotic medication left AV in unreasonable discomfort. The Allegations that AP2 and AP3 financially abused AV is found to be inconclusive. Respondent failed to ensure staff were properly trained and provide a safe medication administration system. This constitutes abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(ii).
Sanction: ALFCP26-00021 $375.00 fine assessed