Print Violation: 00414723-AP-365965

Provider Information

Grove Pointe Senior Living

3110 19TH AVE
Forest Grove, OR 97116

Date: 7/18/2025
Report number: 00414723-AP-365965
Type: Licensing Violation
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)
Findings: According to the documentation, the Alleged Perpetrator 2 (AP2) failed to provide a safe medication system by not reorder medications for the Alleged Victim (AV). The AV’s medication needs to be reordered by the med tech on the 3rd of every month. The medication was not reordered, and the AV did not receive their potassium medication on or about July 16, 2025, at the scheduled 8 am time. At around 10 am that morning, the AV was admitted to the hospital for low potassium and remained in the hospital for approximately 5 days before returning to the hospital, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to provide a safe medication administration system which is a violation of Oregon Administrative Rules.