Print Violation: 00408771-AP-360091

Provider Information

Brookdale Geary Street

2445 GEARY ST SE
Albany, OR 97321

Date: 6/4/2025
Report number: 00408771-AP-360091
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)
Findings: According to the documentation, the facility failed to provide a safe medication administration system by not administering the Alleged Victim’s (AV) anti-coagulation medication for approximately 13 days. From approximately May 23, 2025, through June 04, 2025, the AV’s anti-coagulation medication was not put into the medication administration record appropriately which did not notify medication technicians to administer the medication. The pharmacy delivered the medication to the facility on or about May 24, 2025. The failure to administer the AV’s anti-coagulation medication increased their risk of stroke, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: ALFCP25-00482 $188.00 fine assessed