Print Violation: 00075562-AP-055672

Provider Information

Timber Town Living

1116 W CENTRAL AVENUE
Sutherlin, OR 97479

Date: 3/12/2020
Report number: 00075562-AP-055672
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 follow the Alleged Victim's (AV) care plan to ensure a pressure alarm was in place if he/she was left unattended. On or about March 12, 2020, a miscommunication between staff left AV unattended, in the dining room, without his/her pressure alarm in place. The failure resulted in AV ambulating without assistance, attempting to sit down in his/her chair and experiencing a fall with skin injuries, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP20-00880 $375.00 fine assessed