Print Violation: 00042121-AP-029572

Provider Information

Avamere at St Helens

2400 GABLE RD
Saint Helens, OR 97051

Date: 7/25/2019
Report number: 00042121-AP-029572
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: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings: Alleged Victim (AV) is a fall risk and is care planned for a pool noodle to be used while in bed as a barrier. On or about July 25, 2019, staff responded to AV's room after hearing a loud noise. AV was found lying on the floor with skin tears. The pool noodle was not in place at the time of the fall. The facility failed to follow the care plan, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP20-00827 $375.00 fine assessed