Print Violation: 00082241-AP-061151

Provider Information

Windsong at Eola Hills

2030 WALLACE ROAD NW
Salem, OR 97304

Date: 5/2/2020
Report number: 00082241-AP-061151
Type: Abuse: Neglect
Level: 4 - Serious harm, death, imminent danger or chronic regulatory noncompliance
Allegation: Failed to properly plan care
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)(A)
External site: 411-054-0036(2)(g)
Findings: The facility failed to appropriately care plan for the Alleged Victim regarding his/her risk of falls. On February 21, 2020, the facility received a doctors order for a wheel chair alarm to assist in preventing falls, which the facility failed to enact. In the following three months, the Alleged Victim had multiple falls from standing up from his/her wheelchair. On or about May 2, 2020, the Alleged Victim was found on the floor from a fall after standing up from his/her wheelchair, was transported to the hospital for treatment and was diagnosed with a head laceration, extensive facial fractures, a brain bleed and passed several days later. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP20-01017 $2500.00 fine assessed