Print Violation: 00076583-AP-056468

Provider Information

Pelican Pointe

615 WASHBURN WAY
Klamath Falls, OR 97603

Date: 3/3/2020
Report number: 00076583-AP-056468
Type: Licensing Violation
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide safe environment
Result: Substantiated
Rule(s) Violated: External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(r)
External site: 411-054-0030(1)(e)(I)
Findings: Alleged Perpetrator #2 (AP2) failed to check on the Alleged Victim (AV) in a timely manner when he/she heard AV moaning in his/her room. AP2 had the med tech check on AV after a while and it was found that AV had fallen while apparently trying to use the restroom. AP2 had checked on AV earlier, but had not offered toileting at that time. AP2's actions caused a loss of dignity to AV, which is considered neglect of care and constitutes abuse. The facility failed to provide a safe environment for AV, which is a violation of Oregon Administrative Rules.