Print Violation: 00060879-AP-043699

Provider Information

Friendsview Retirement Community

1301 E FULTON ST
Newberg, OR 97132

Date: 11/30/2019
Report number: 00060879-AP-043699
Type: Licensing Violation
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)(r)
Findings: Alleged Victim (AV) is care planned to have his/her catheter flushed twice per day, once in the morning and once in the evening. AV’s care plan states to immediately contact Hospice for any concerns. On or about November 30, 2019, Alleged Perpetrator 2 (AP2) encountered difficulty with AV’s catheter flush in the morning and was unable to complete the flush. AP2 did not contact Hospice but logged AV’s flush as completed in the MAR and waited to inform the oncoming staff approximately three hours later. AV did not experience harm or discomfort but was placed at risk of harm by infection by not having the catheter flushed until evening. AP2's actions are considered neglect of care and constitute abuse. The facility failed to ensure that AV’s care plan was followed which is a violation of Oregon Administrative Rules.