Print Violation: 00405935-AP-356944

Provider Information

Windsong at Eola Hills

2030 WALLACE ROAD NW
Salem, OR 97304

Date: 4/21/2025
Report number: 00405935-AP-356944
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(1)(a) and (b)
External site: 411-054-0030(f)
External site: 411-054-0036(2)(g)
External site: 411-054-0055(1)(a) and (f)
Findings: AV resides at AP1 and has a responsibility to provide AV assistance with managing medications and including ordering, storing and administration. AV is prescribed narcotic medications per physician orders. On or about April 21, 2025, it was discovered that 16.75mL of AV's narcotic pain medication was unaccounted for. According to the Narcotic log there should have been 21.5 mL remaining. Only 4mL remained in the bottle. AP1 failed to ensure a safe, adequate medication administration system, which resulted in AV's prescribed narcotics being diverted by an unknown Alleged Perpetrator (AP2). AP2s actions were investigated and determined to be inconclusive. The facility failed to provide a safe medication administration system, which is violation of resident’s rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP25-01155 $250.00 fine assessed