Print Violation: 00073040-AP-053880

Provider Information

The Arbor at Avamere Court

450 CLAGGETT COURT N
Keizer, OR 97303

Date: 2/23/2020
Report number: 00073040-AP-053880
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to properly plan care
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: Alleged Victim (AV) has a known history of falls. On or about January 6, 2020, sensors were added to AV's bed/chair. On or about January 13, 2020, AV was found in his/her bathroom on the floor. It was discovered the bed sensor was broken. AV's care plan was updated to reflect AV should wear non-skid socks and/or shoes. On or about February 23, 2020, staff responded to AV's alarm going off in his/her room. AV reported that he/she had fallen. AV did not have non-skid socks on. AV was later sent out to the hospital and was found to have fractured his/her hip. The facility failed to follow AV's care plan, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP20-01015 $1500.00 fine assessed