Print Violation: 00438161-AP-389975

Provider Information

Cedarbrook Place Senior Living

721 NE 27TH ST
Mcminnville, OR 97128

Date: 11/8/2025
Report number: 00438161-AP-389975
Type: Licensing Violation
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide inservice
Result: Substantiated
Rule(s) Violated: External site: 411-054-0025(1)(a) and (b), 411-054-0027(1)(g) and (s), 411-054-0028(2), 411-054-0055(1)(a) and (f)
Findings: The Alleged Victim (AV) relies on the facility to administer his/her medications. According to an investigation, on or about November 8, 2025, the Alleged Perpetrator 2 (AP2) failed to administer medication as ordered when he/she administered ear drops into AV's eyes instead of eye drops, resulting in a burning sensation to AV's eyes and unreasonable discomfort. AP2's actions are considered neglect and constitutes abuse. The facility failed to ensure medications were administered as ordered, which violates Oregon Administrative Rules.