Print Violation: 00455442-AP-407577

Provider Information

Cascadia Village Senior Living

39495 CASCADIA VILLAGE DRIVE
Sandy, OR 97055

Date: 2/2/2026
Report number: 00455442-AP-407577
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: External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings: The Alleged Victim (AV) is scheduled to receive two medications three times a day, 8:00 am, 2:00 pm and 8:00 pm. On or about February 2, 2026, AV was not given his/her 2:00 pm medication. There was staff confusion about who did or did not give the 2:00 pm medication pass, leading to AV not receiving medication as ordered. The medication that AV missed placed AV at risk for high blood pressure and increased tremors. Respondent failed to ensure staff dispensed medication as ordered, which placed AV at risk for harm. This constitutes abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(ii).
Sanction: ALFCP26-00108 $188.00 fine assessed