Print Violation: 00458053-AP-410229

Provider Information

Dallas Retirement Village Assisted Living

340 NW BRENTWOOD ST
Dallas, OR 97338

Date: 2/12/2026
Report number: 00458053-AP-410229
Type: Licensing Violation
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to administer medication as ordered
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)(a) and (b)
External site: 411-054-0055(1)(a) and (f)
Findings: Alleged Victim (AV) resides in the Respondent’s facility and depends on facility staff for medication administration. According to the AV’s Medication Administration Record (MAR), the AV was to receive 2 mg of the medication every Monday, Tuesday, Wednesday, Thursday, Saturday, and Sunday, and 1 mg every Friday. On or about February 12, 2026, Alleged Perpetrator 2 (AP2) administered 3 mg of the medication to AV instead of the prescribed 2 mg dose resulting in abnormal discoloration of AV's legs. AP2’s actions constitute neglect of care and meet the definition of abuse. The Respondent failed to ensure a safe medication administration system, which is a violation of the Oregon Administrative Rules.