Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: 00100224-AP-076163

Provider Information


Hillside Place

1400 SE 19TH
Lincoln City, OR 97367

Provider ID
70M041
Administrator
Earleen Linn
Phone
(541) 994-8028
Email
earleen.linn@caringplaces.com

Violation Details


Date
8/3/2020
Report number
00100224-AP-076163
Type
Abuse: Neglect
Level
4 - Serious harm, death, imminent danger or chronic regulatory noncompliance
Allegation
Failed to intervene when resident's condition changed
Result
Substantiated
Findings
Alleged Victim (AV) is minimally oriented and relied on facility staff to ensure that his/her personal care, safety, and supervision needs were met. Mid-July 2020, AV was largely independent in ambulation, transfers, toileting, eating, and personal care activities. AV did not have a significant fall history. On or about July 30, 2020, AV began experiencing severe and on-going diarrhea or lose stools. On or about August 3, 2020, AV was diagnosed with a significant medical condition and experienced an injury fall. On August 5, 2020, AV was noted to still be experiencing loose stool and that his/her fluid intake was likely insufficient to prevent dehydration. Facility notes continued to describe AV as declining. On or about August 11, 2020, AV's service plan was updated noting that AV needed total assistance with all activities of daily living including but not limited too: toileting, eating, drinking, ambulation and AV was no longer able to make his/her needs known. On or about August 13, 2020, the facility noted that AV needed a higher level of care. AV continued to decline, experienced multiple falls some with injury, and was found to be dehydrated on multiple occasions. On or about August 24, 2020, AV was moved to another facility that could provide a higher level of care. Between June 30, 2020 and August 24, 2020, there are only eleven (11) progress notes documenting AV's condition, despite AV receiving at least five (5) new diagnosis, experiencing five (5) falls, and undergoing a significant change of condition. Due to staff illness the facility was significantly short staff. The facility failed to provide service to AV, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction
ALFCP21-01182 $2500.00 fine assessed