Print Violation: 00136595-AP-107337

Provider Information

Guardian Angel Homes Memory Care

540 NW 12TH ST
Hermiston, OR 97838

Date: 4/21/2021
Report number: 00136595-AP-107337
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to properly plan care
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)
External site: 411-054-0040(1)(a) and (d)
Findings: Alleged Victim (AV) fell out of a chair in the dining room when AV went to sit down in a chair that had no arms on it. The facility was advised by AV's PCP that AV's recent medication dosage change would likely lead to an increase in falls while getting the correct dosage. The facility failed to properly care plan for AV's potential fall risk due to the medication dosage change which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP21-03181 $1125.00 fine assessed