Print Violation: 00018061-AP-017811

Provider Information

Wildflower Lodge

508 16TH ST
La Grande, OR 97850

Date: 2/8/2019
Report number: 00018061-AP-017811
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to properly plan care
Result: Substantiated
Rule(s) Violated: External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings: On or about February 8, 2019, Alleged Victim (AV) fell with injury which resulted in AV being transported to hospital for treatment for pain and discomfort. An investigation determined that AV is care planned for frequent checks due to fall risk and on the day of the incident, AV had a medical procedure that required anesthesia. The facility failed to put interventions in place to address AV's increased fall risk while sedated. The facility's failure to properly plan care for AV's risk of falls is a violation of resident rights, is considered neglect of care, and constitutes abuse. The allegation that Alleged Perpetrator 2 (AP2) was neglectful while providing care to AV was investigated and determined there was no wrongdoing by AP2.
Sanction: RCFCP20-01005 $1125.00 fine assessed