Print Violation: 00448553-AP-400602a

Provider Information

Rn Villa Senior Care

401 NE 139TH AVENUE
Portland, OR 97230

Date: 1/5/2026
Report number: 00448553-AP-400602a
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide a safe medication administration system
Result: Substantiated
Rule(s) Violated: 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 manage their medications. According to an investigation, the AV's medications were not ordered timely resulting in the AV missing three doses of the medication. The missed doses resulted in side effects and discomfort for the AV. The allegation that Alleged Perpetrator 2 and Alleged Perpetrator 3 neglected the AV by failing to follow facility medication re-order procedures was not substantiated. The facility failed to provide a safe medication administration system, which is a violation of resident’s rights, is neglect of care, and constitutes abuse.
Sanction: RCFCP26-00620 $250.00 fine assessed