Print Violation: 00052017-AP-036203

Provider Information

Bonaventure of Keizer Assisted Living

5525 MCLEOD LANE NE
Keizer, OR 97303

Date: 9/25/2019
Report number: 00052017-AP-036203
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to assure resident was safe
Result: Substantiated
Rule(s) Violated: External site: 411-054-0025(1)(a)
External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings: The facility failed to provide appropriate supervision and monitoring of the Alleged Victim (AV) according to a history of being restrained to his/her wheelchair. The failure resulted in approximately 6 separate occasions of AV being restrained to his/her wheelchair causing risk of harm and loss of personal dignity, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: ALFCP20-00586 $188.00 fine assessed