Print Violation: 00135738-AP-106559

Provider Information

Guardian Angel Homes Memory Care

540 NW 12TH ST
Hermiston, OR 97838

Date: 4/11/2021
Report number: 00135738-AP-106559
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide safe environment
Result: Substantiated
Rule(s) Violated: External site: 411-054-0025(1)(b)
External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings: On or about April 11, 2021, the facility failed to follow Alleged Victim's (AV) doctor's orders when Alleged Perpetrator 2 (AP2) had staff walk AV after he/she returned to facility after having surgery to repair his/ her fractured hip. An investigation determined that after AV was released back to the facility after his/her surgery, AV's doctor approved AV to be exercised by an in-house physical therapist three to five days a week. AP2 advised staff to walk AV when AV's doctor only approved an in-house physical therapist to walk/exercise AV. AP2's failure to follow AV's doctor's orders is considered neglect of care which constitutes abuse. The facility is responsible for the supervision, training, and overall conduct of staff when staff are acting within the scope of his/her employment duties. The facility's failure to ensure AV's doctor's orders were followed is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP21-03502 $1000.00 fine assessed