Print Violation: 00070571-AP-051396

Provider Information

Tsl Elderhealth And Living Memory Village

382-B SOUTH 58TH ST
Springfield, OR 97478

Date: 11/26/2019
Report number: 00070571-AP-051396
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to follow care plan
Result: Substantiated
Rule(s) Violated: 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 oversight and appropriately care plan for Alleged Victim (AV) regarding his/her fall risks. In November 2019, AV experienced 4 falls, with 2 resulting in injury. AV was care planned to have a seat belt alarm to alert staff when he/she was getting up. The facility failed to follow AV's care plan when on or about November 26, 2019, AV was seated in a chair without his/her seat alarm and experienced a fall. AV's care plan was not updated until January 2020 to reflect AV's fall risk. The facility's failures are a violation of resident rights, are considered neglect of care and constitutes abuse.
Sanction: RCFCP20-00246 $500.00 fine assessed