Print Violation: 00106469-AP-081419

Provider Information

Willamette Manor

176 WEST C STREET
Lebanon, OR 97355

Date: 10/4/2020
Report number: 00106469-AP-081419
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to provide safe environment
Result: Substantiated
Rule(s) Violated: External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
Findings: On or about October 4, 2020, Alleged Victim (AV) fell when he/she attempted to transfer from his/her wheelchair to his/her recliner. AV was found on the floor of his/her room by facility staff who then proceeded to assist AV with getting up from the floor. However, AV fell a second time when a facility staff member tripped during the transfer. Due to the second fall, AV was transferred to the hospital for treatment. The facility's failure to provide a safe environment for AV is a violation of resident rights, is considered neglect of care and constitutes abuse. The allegation that Alleged Perpetrator 2 (AP2) physically abused AV was investigated and determined no wrongdoing by AP2.
Sanction: ALFCP21-01423 $375.00 fine assessed