Print Violation: 00109547-AP-084175

Provider Information

Pelican Pointe

615 WASHBURN WAY
Klamath Falls, OR 97603

Date: 10/26/2020
Report number: 00109547-AP-084175
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious harm
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)(H)
External site: 411-054-0036(2)(g)
Findings: On or about October 26, 2020, the Alleged Victim (AV) had a fall and was found on the floor of his/her room which resulted in facial injuries including a fractured nose. AV had multiple falls and was care planned to be brought to the dining room for coffee, which staff were not following. AV had a fall mat in his/her room, which he/she was not care planned for, which is believed to be the cause of some of the falls that AV sustained. The facility failed to properly care plan for AV's falls, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP21-01893 $1500.00 fine assessed