Print Violation: 00074817-AP-055024

Provider Information

Blue Haven Memory Care - Dallas

280 SE UGLOW ST
Dallas, OR 97338

Date: 3/3/2020
Report number: 00074817-AP-055024
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to have medication available
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: 411-054-0055(1)(a) and (f)
Findings: On or about March 2 - March 6, 2020, the facility failed to provide needed pain medication for the Alleged Victim (AV). AV suffered a fall on March 1, 2020 and on March 2, 2020, AV was transferred to the Emergency room due to back pain from the fall. He/she returned from the ER and went without pain medication from March 2, 2020 until March 6 2020, causing undue pain and stress to him/her. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP20-00944 $500.00 fine assessed