Print Violation: 00134502-AP-105559

Provider Information

Pelican Pointe

615 WASHBURN WAY
Klamath Falls, OR 97603

Date: 4/11/2021
Report number: 00134502-AP-105559
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to assist with toileting
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: 411-054-0036(2)(g)
External site: 411-054-0070(1)
Findings: On or about April 11, 2021, the Alleged Victim (AV) was changed by staff approximately 1:00 pm. Staff had placed his/her initials and time on AV's brief. When night shift staff arrived, and had checked AV, he/she still had the same brief on from approximately 12 hours earlier. AV suffered redness to his/her thighs and was placed in unreasonable discomfort from not being changed for an entire shift. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP21-02813 $250.00 fine assessed