Print Violation: 00128488-AP-100155

Provider Information

Kellogg Assisted Living at Mary's Woods

17395 HOLY NAMES DRIVE
Lake Oswego, OR 97034

Date: 3/7/2021
Report number: 00128488-AP-100155
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to assure food safety
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)(a)(A)
External site: 411-054-0036(2)(g)
Findings: On or about March 7, 2021 and again on March 16, 2021, the Alleged Victim (AV) was given ice cream that was not on his/her care plan. AV needs special ice cream so he/she will not choke. On the March 7 incident, AV was sent to the hospital for aspiration pneumonia. AV's care plan wasn't specific as necessary for staff to understand why AV needed a particular ice cream. Alleged Perpetrator #2 (AP2) and Alleged Perpetrator #3 (AP3) gave AV the ice cream on each occasion, which placed AV at risk for harm. AP2 and AP3's actions are a violation of resident rights, is considered neglect of care and constitutes abuse. The facility's failure to provide a clear care plan is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: ALFCP21-01659 $188.00 fine assessed