Print Violation: CALMS - 00093143

Provider Information

Terwilliger Plaza MetcALF Unit

2545 SW TERWILLIGER BLVD
Portland, OR 97201

Date: 9/15/2025
Report number: CALMS - 00093143
Type: Licensing Violation
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide oversight and monitoring of change of condition
Result: Substantiated
Rule(s) Violated: External site: 411-054-0040(1)(a) and (d)(A-B), and (2)
Findings: Resident returned to the facility, and missed h/h medication as staff left the medication on hold. There is no documentation resident was monitored for adverse effect regarding the missed medications. The facility’s failure to monitor a resident was substantiated, an investigation determined this is a violation of Oregon Administrative Rules.