Print Violation: 00113902-AP-087922

Provider Information

Tsl Elderhealth And Living Memory Village

382-B SOUTH 58TH ST
Springfield, OR 97478

Date: 11/27/2020
Report number: 00113902-AP-087922
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: 411-054-0030(1)(e)(I)
Findings: Alleged Victim (AV) relies on the facility for his/her care needs. On or about November 17, 2020, AV was crying out and threatening self-harm due to pain. This triggered Witness 1 (W1), who became anxious over AV’s behavior and attempted to push AV outside multiple times. W1 was able to get to AV and pushed AV outside. The facility failed to provide a safe environment for AV, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP21-03097 $500.00 fine assessed