Print Violation: 00055078-AP-038636

Provider Information

Tsl Elderhealth And Living Memory Village

382-B SOUTH 58TH ST
Springfield, OR 97478

Date: 10/23/2019
Report number: 00055078-AP-038636
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide safe environment
Result: Substantiated
Rule(s) Violated: 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)
Findings: Alleged Victim (AV) had a history of aggressive behaviors and was care planned to be monitored while in the house and for staff to intervene when AV is in another resident’s space. On or about October 23, 2019, AV was sitting next to Witness 4 (W4) and grabbed a book out of W4’s hands and hit W4 several times in his/her face. W4 hit AV back with a brush, causing AV to sustain a skin injury on his/her hand. Staff did not intervene when AV was in W4’s space before the incident. The facility failed to provide adequate supervision to AV which resulted in physical harm, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP20-00381 $375.00 fine assessed