Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00132357-AP-103639
Provider Information
Brookdale Wilsonville
8170 VLAHOS DR
Wilsonville, OR 97070
- Provider ID
- 50M228
- Administrator
- FELICITY HARVEY
- Phone
- (503) 682-0653
- felhar@brookdale.com
Violation Details
- Date
- 3/21/2021
- Report number
- 00132357-AP-103639
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to follow care plan
- 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
- The facility failed to follow the Alleged Victim's (AV) care plan to ensure s/he wears properly fitting non-slip footwear and to have his/her call pendant on in order to prevent/mitigate the risk of fall. The failure resulted in an unwitnessed fall causing AV to be transferred to the hospital with a fracture, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP21-02438 $1125.00 fine assessed