Print Violation: 00128833-AP-100462

Provider Information

Azalea Gardens Senior Living

755 ELK DRIVE
Brookings, OR 97415

Date: 3/9/2021
Report number: 00128833-AP-100462
Type: Licensing Violation
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to provide safe environment
Result: Substantiated
Rule(s) Violated: External site: 411-054-0025(1)(b)
Findings: Alleged Perpetrator 2 (AP2) failed to follow Alleged Victim's (AV) care plan when AP2 transferred AV by himself/herself causing a broken arm. An investigation determined that AP2 had knowledge that AV was a 2-person transfer and decided to transfer AV by himself/herself. AP2's action is considered neglect of care and constitutes abuse. The facility failed to provide a safe environment for AV which is a violation of Oregon Administrative Rules.