Print Regulatory Action: CO19017

Provider Information

Maple Valley Memory Care

219 NE FIRCREST DR
Mcminnville, OR 97128

Effective date: 1/16/2019
End date: 5/20/2019
Reference number: CO19017
Allegation: Failed to intervene when resident's condition changed
Description: The Department received preliminary information from Adult Protective Services (APS) on January 11, 2019 that indicated the facility failed to assess and intervene when Resident #1 experienced a change of condition on December 27, 2018. On or about January 1, 2019, Resident #1 was transported to the emergency department and admitted to the hospital with a temperature of 101F and multiple skin wounds needing possible surgical intervention.
Rule(s) Violated: 411-054-0025(1)(a) and (b),(4)
411-054-0027(1)(a)(f) and (r)
411-054-0028(2)
411-054-0030(1)(e)(I), (2)(b)
411-054-0036(2)(g)
411-054-0040
Findings: Transfer To Hospital For Treatment
Sanction: RCFCD19-002