Print Violation: 00138757-AP-109192

Provider Information

Fieldstone Village at Keizer Ridge

1165 MCGEE COURT NE
Keizer, OR 97303

Date: 4/27/2021
Report number: 00138757-AP-109192
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to intervene when resident's condition changed
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: 411-054-0030(1)(e)(I)
External site: 411-054-0036(2)(g)
External site: 411-054-0040(1)(a) and (d)
Findings: On or about April 27, 2021, it was discovered that the Alleged Victim (AV) had a large wound on his/her heel. Staff were to do skin checks during sponge baths to ensure the integrity of AV's skin. Staff did not notice AV's wound until it was brought to the attention of the nurse by AV and at that time, AV's wound had reached 2.5 x 4 x .2 cm. The facility failed to intervene when AV's condition changed, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: ALFCP21-02750 $500.00 fine assessed