Print Violation: 00021977-AP-015641

Provider Information

Pelican Pointe

615 WASHBURN WAY
Klamath Falls, OR 97603

Date: 3/11/2019
Report number: 00021977-AP-015641
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to follow care plan
Result: Substantiated
Rule(s) Violated: External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0030(1)(e)(I)
External site: 411-054-0036(2)(g)
External site: 411-054-0070(1)
Findings: The facility failed to ensure supervision and staff support regarding known behaviors related to Witness#1 (W1). An incident occurred between W1 and the Alleged Victim (AV) where W1 struck AV across the face with force. The facility failed to provide 1 to 1 care when necessary as outlined in the care plan. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP20-00009 $169.00 fine assessed