Print Violation: 00444443-AP-396429

Provider Information

Prestige Senior Living Southern Hills

4795 SKYLINE RD S
Salem, OR 97306

Date: 11/18/2025
Report number: 00444443-AP-396429
Type: Abuse: Neglect
Level: 4 - Serious harm, death, imminent danger or chronic regulatory noncompliance
Allegation: Failed to administer medication as ordered
Result: Substantiated
Rule(s) Violated: 411-054-0025(1)(b)
411-054-0027(1)(g) and (s)
411-054-0028(2)
411-054-0036(2)(g)
411-054-0055(1)(a) and (f)
Findings: The Alleged Victim (AV) relies on the facility for their care, including medication administration with an order for anticoagulation medication once a day. According to an investigation, due to a medication entry error, AV received anticoagulation medication twice a day from approximately November 18, 2025, to December 8, 2025, resulting in pain, bruising, and a GI bleed. AV was sent to the hospital and was given three units of blood. The facility failed to administer medication as ordered and appropriately train the facility staff member responsible for the error, which is a violation of resident rights, is considered neglect of care and constitutes abuse as defined in OAR 411-020-0002(1)(b)(A)(i). The allegation that Alleged Perpetrator 2 (AP2) neglected AV was investigated and determined to be Not Substantiated.
Sanction: ALFCP26-00257 $1500.00 fine assessed