Print Violation: 00438180-AP-389993

Provider Information

Cedarbrook Place Senior Living

721 NE 27TH ST
Mcminnville, OR 97128

Date: 11/8/2025
Report number: 00438180-AP-389993
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)(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 she/he administered another resident's medication to AV. This exposed AV to risk of serious harm. AP2's actions are considered neglect and constitutes abuse. The facility failed to protect AV from potential harm and ensure medications were administered as ordered, which violates Oregon Administrative Rules. The allegation that Alleged Perpetrator 3 (AP3) verbally neglected AV was investigated and determined to be not substantiated.