Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: OR0001071900
Provider Information
Prestige Senior Living Beaverton Hills
4525 SW 99TH AVE
Beaverton, OR 97005
- Provider ID
- 70M243
- Administrator
- WOLANDA GROOMBRIDGE
- Phone
- (503) 520-1350
- wolanda.groombridge@prestigecare.com
Violation Details
- Date
- 3/4/2016
- Report number
- OR0001071900
- Type
- Licensing Violation
- Level
- 1 - No harm or potential for minor harm
- Allegation
- Failed to administer medication as ordered
- Result
- Substantiated
- Rule(s) Violated
-
External site: 411-054-0055(1)(c )
- Findings
- Failure to follow medication orders as prescribed4110540055(1)(c)On March 7, 2016, Compliance Specialist (CS) made an unannounced entry into the facility and interviewed Staff 1 regarding allegations listed in the complaint. CS informed Staff 1 that Resident 1 had filed a formal complaint because the facility refused to allow Resident 1 to selfadminister medication as prescribed by Resident 1's doctor. Resident 1 ' s doctor believes he/she has enough dexterity to selfadminister medication. Resident 1 indicated on March 7, 2016 he/she and his/her doctor during an office visit on March 2, 2016 discussed Resident 1 tapering off of morphine on her own and him/her being able to selfadminister medication via doctor ' s order. Resident 1 indicated his/her doctor was not concern with him/her selfmedicating because Resident 1 was able to taper him/herself off of morphine on his/her own after being reliant on it; Resident 1 is very independent despite her physical challenges. Staff 1 indicated he/she was unaware prescribing doctor had final say on whether a resident can selfadminister medication; Staff 1 believed facility's nurse had final say. CS informed Staff 1 facility nurse can disagree but has to convince prescribing doctor to change doctor's order so facility administer medication(s).On March 7, 2016, CS interviewed Staff 2 who indicated the week before he/she had concerns because he/she does not believe Resident 1 should be selfadministering medication(s). CS asked Staff 2 if he/she conferred with Resident 1's prescribing doctor before disallowing Resident 1 to selfadminister his/her medication(s)? Staff 2 indicated he/she did not because he/she does not have to. CS informed Staff 2 that he/she can disagree but should confer with prescribing doctor to modify/change doctor's order(s).On March 15, 2016, CS interviewed Staff 1 & 2 to inform them of what CS found in the progress notes. CS located facility's November 3, 2015 assessment and it indicated the following:Resident 1 did not demonstrate or articulate how to take medication in a manner consistent with doctor ' s order;Resident 1 does not have psychological stability and cognitive skills to safely selfmedicate;Resident 1 is not able to verbalize the reason or general purpose of their prescribed medications.CS, however, through interviews with Resident 1 on March 7th & March 15th observed that Resident 1 can articulate time, frequency and purpose for taking his/her medication. Resident 1 was able to engage CS in a lengthy conversation about his/her prescribed medications and also shared stories about taking them and their benefits to CS. CS also located a home health nurse's November 24, 2015 assessment indicating Resident 1 was okay to selfmedicate. CS then referred back to the facility's November 3, 2015 assessment which indicated Resident 1's manual dexterity was not evaluated nor was Resident 1's ability to remove medication from containers was evaluated as well. CS discussed the additional information that was previously not assessed with Staff 1 & 2 and indicated the inconsistencies with Resident 1 ' s March 2, 2016 physician ' s order permitting Resident 1 to selfadminister medication.