Print Violation: 00116801-AP-090380

Provider Information

Pelican Pointe

615 WASHBURN WAY
Klamath Falls, OR 97603

Date: 12/16/2020
Report number: 00116801-AP-090380
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate 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)(I)
External site: 411-054-0036(2)(g)
External site: 411-054-0070(1)(f)
Findings: The facility failed to properly care plan and ensure supervision and staff support regarding known behaviors related to Witness #1 (W1) and the Alleged Victim (AV). An incident occurred between the two where W1 had AV in a choke hold with AV attempting to bite W1. Neither resident was injured in the altercation, however, the action places both residents at a risk for harm. The facility's failures are a violation of resident rights, are considered neglect of care and constitute abuse.
Sanction: RCFCP21-01902 $1000.00 fine assessed