Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: MV186604

Provider Information


Cedar Village Memory Care Community

4452 LANCASTER DR NE
Salem, OR 97301

Provider ID
50R353
Administrator
Sydnee Mancino
Phone
(503) 390-9600
Email
smancino@cogirusa.com

Violation Details


Date
3/6/2018
Report number
MV186604
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to administer medication as ordered
Result
Substantiated
Findings
RP2 failed to administer the correct insulin to RV; resulting in RV being sent to the emergency room.
Sanction
RCFCP18-087 $375.00 fine assessed