Print Violation: 00064789-AP-046695

Provider Information

Mcloughlin Place Senior Living

1153 MOLALLA AVE
Oregon City, OR 97045

Date: 12/15/2019
Report number: 00064789-AP-046695
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to perform adequate screening or assessment
Result: Substantiated
Rule(s) Violated: External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0040(1)(b) and (c)
Findings: Alleged Victim (AV) is listed as a fall risk but independent with mobility, transfers, toileting, dressing and grooming. On or about December 16, 2019, AV self-reported to staff having three falls recently. A progress note dated January 1, 2020, states AV was assessed and evaluated for the reported falls on or about December 19, 2019, which concluded AV had full range of motion and no apparent injury. AV was put on alert charting on or about December 19, 2019. On or about December 30, 2019, AV was taken to his/her PCP by family due to AV complaining of pain and not going down to meals for the prior two days. The facility failed to timely assess AV after he/she reported the falls and the facility failed to respond to AV's change of condition two days prior to going to the hospital, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: ALFCP20-00313 $250.00 fine assessed