Print Violation: 00077897-AP-057544

Provider Information

Pelican Pointe

615 WASHBURN WAY
Klamath Falls, OR 97603

Date: 3/30/2020
Report number: 00077897-AP-057544
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to address resident's behavior
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: 411-054-0030(1)(e)(I)
Findings: On or about March 30, 2020 the Alleged Victim (AV) and Witness #1 (W1) were involved in an altercation where W1 pushed AV to the ground. AV was transported to the hospital and diagnosed with a fractured hip requiring surgery. Prior to the incident, W1 was experiencing violent behaviors but was allowed to roam the facility without any supervision, causing an unsafe environment for residents. The facility's failure to provide a safe environment is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP20-00541 $1013.00 fine assessed