Print Violation: 00111193-AP-085670

Provider Information

Tsl Elderhealth And Living Memory Village

382-B SOUTH 58TH ST
Springfield, OR 97478

Date: 11/6/2020
Report number: 00111193-AP-085670
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate 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)
External site: 411-054-0036(2)(g)
Findings: Witness 1 (W1) was care planned to be observed for aggressive words/behaviors. On or about November 6, 2020, W1 was showing aggressive behaviors, W1 came up to Alleged Victim (AV) and pulled him/her to the ground. The facility failed to follow care plan related to W1’s known behavior of aggression, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP21-02079 $500.00 fine assessed