Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00409708-AP-360797
Provider Information
Woodside Senior Living Community
4851 MAIN STREET
Springfield, OR 97478
- Provider ID
- 70M226
- Administrator
- Tess Myers-Munger
- Phone
- (541) 747-1887
- ed@woodsidesl.com
Violation Details
- Date
- 6/19/2025
- Report number
- 00409708-AP-360797
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious 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: 411-054-0040(1)(a) and (d)
External site: 411-054-0055(1)(a) and (f)
- Findings
- Based on witness statements, investigator observations, and documentary evidence collected during Adult Protective Services (APS) Investigation #00409708, the APS Investigator determined that on or about June 19, 2025, through June 22, 2025, the facility failed to provide a safe Medication Administration System for the Alleged Victim (AV). Despite receiving a faxed physician directive discontinuing an antipsychotic medication, the facility staff continued to administer to AV the discontinued antipsychotic medication in combination with a newly prescribed antipsychotic. The facility's failure resulted in the AV becoming excessively drowsy, difficult to awaken, experiencing bladder incontinence, and ultimately being transported to the emergency room due to sedation. Facility staff were aware of the discontinuation order via a faxed physician directive but failed to act accordingly. The facility failed to act on AV's physician's discontinuation order, ensure accurate medication administration, monitor AV's condition, and communicate critical changes in care, which caused unnecessary and unreasonable discomfort to AV, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- ALFCP25-01025 $375.00 fine assessed