Print Violation: 00074247-AP-054558

Provider Information

Timberwood Court Specialty Care Community

2875 SE 14TH AVE
Albany, OR 97322

Date: 2/28/2020
Report number: 00074247-AP-054558
Type: Abuse: Neglect
Level: 4 - Serious harm, death, imminent danger or chronic regulatory noncompliance
Allegation: Failed to assure timely medical treatment
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: 411-054-0040(1)(b)(c)
Findings: On or about February 28, 2020, the Alleged Victim (AV) had taken him/herself to the bathroom and had an unwitnessed fall, hitting his/her midsection against a counter. AV complained of pain to his/her right side and AV was placed in his/her bed. Staff did not call EMT's for evaluation until the following day, at which time, staff did not advise the EMT's that AV was on anti-coagulant medication, nor did staff call AV's POA to advise of the fall until 4 days later. On March 2, 2020, AV's POA advised the facility to transfer AV to the hospital where he/she was diagnosed with diminished breathing and right sided fractured ribs. AV's condition worsened to fluid in the lungs which he/she could not recover from and passed away. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP20-00589 $1500.00 fine assessed