Print Violation: OR0004601204

Provider Information

Pacific Grove Senior Living Community

2112 OAK ST
Forest Grove, OR 97116

Date: 2/7/2024
Report number: OR0004601204
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: External site: 411-054-0055(1)(c)
Findings: The facility failed to observe the resident take (e.g., ingest, inhale, apply) the medication unless the prescriber's order for that specific medication states otherwise. Based on facility documentation and interviews, facility staff drop off resident's medication while s/he is asleep and put medications on his/her nightstand in the morning and at night without observing resident took his/her medication. The facility's failure to provide a safe medication administration system is a violation of Oregon Administrative Rules.