Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00475607-AP-428027
Provider Information
Marquis Piedmont Assisted Living
319 NE RUSSET STREET
Portland, OR 97211
- Provider ID
- 70A288
- Administrator
- Erik Holzherr
- Phone
- (971) 206-5200
- eholzherr@marquiscompanies.com
Violation Details
- Date
- 5/1/2026
- Report number
- 00475607-AP-428027
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide a safe medication administration system
- Result
- Substantiated
- Rule(s) Violated
-
411-054-0027(1)(g) and (s)
411-054-0028(2)
- Findings
- Alleged Victim (AV) relies on the facility to manage AV's medication administration. On 4/30/26 AV returned from the hospital in the early morning hours with a prescription for [anti-arrythmia] medication, this medication was to treat [heart rate condition]. AV did not receive the (anti-arrythmia) medication from May 1, 2026, to May 4, 2026. On May 4, 2026, AV's heart rate was taken and was 189 which required transport to the hospital. On 5/2/26 Alleged Perpetrator 2 (AP2) was working again and did not administer the [anti-arrythmia] medication to AV because the medication was not in the building. Alleged Perpetrator (AP3) was trained prior to May 1, 2026, to reach out to the pharmacy to check on the medication’s delivery if a resident’s medication is not yet in the building. AP3 states this was an oversight by AP3 and assumed the [anti-arrythmia] medication was on its way to the building; AP3 stated they were well-trained by the facility regarding protocol in such situations. AP2 and AP3 failed to provide a safe medication administration system for AV, which is a neglect of care and constitutes abuse. The facility failed to provide a safe medication administration system, which is a violation of Oregon Administrative Rules.