Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: OR0004629800
Provider Information
Willamette Springs Memory Care
6000 SW MOSAIC DRIVE
Corvallis, OR 97333
- Provider ID
- 50M436
- Administrator
- Kimberly Blanchard
- Phone
- (541) 497-9707
- ed@willamettesprings.com
Violation Details
- Date
- 11/15/2023
- Report number
- OR0004629800
- 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)(e)
- Findings
- On 12/19/23, CS observed deceased Resident 1 to have 15 doses of Lorazepam 1mg and 2ml of Morphine, as well as Resident 2's four packets of Lorazepam .5mg and 21.5ml of Morphine having been stored in the medication cart.on 12/19/23, Staff 2 (MT) stated, "There are two deceased resident's Lorazepam and Morphine in my medication cart. Med techs can destroy medications that are not narcotics. The narcotics are destroyed by a Nurse and the ED." Staff 2 indicated Resident 1 had passed away on 11/30/23 and Resident 2 had passed away on 12/09/23. Staff 1 (ED) stated, "The facility does not have a specific policy and procedure for the disposal and destruction of narcotics. The facility does not have a time frame of when narcotics are to be destroyed, we will typically do it within a month. The Nurses and I have not been at the facility at the same time to have destroyed those medication yet." A review of the facility's tracking-controlled substance record book indicated Resident 1 and Resident 2's Lorazepam and Morphine had yet to be destroyed. It was confirmed the facility failed to ensure a system for disposal of all unused, outdated, or discontinued medications administered by the facility for 2 of 2 sampled residents' (#s 1 and 2).