Print Violation: 00069959-AP-050929

Provider Information

Carlty Gardens

2669 S CLOVERLEAF LOOP
Springfield, OR 97477

Date: 2/5/2020
Report number: 00069959-AP-050929
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious 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)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0030(1)(e)(H)
Findings: The facility failed to follow the Alleged Victim's (AV) care plan to have an active bed alarm, or to respond to the bed alarm when activated by the AV. On or about February 4th or 5th, 2020, the bed alarm in AV's room either didn't get responded to or was turned off, AV fell and was transported to the hospital and diagnosed with 4 fractured ribs. The facility failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP20-00786 $375.00 fine assessed