Print Violation: 00139357-AP-109690

Provider Information

Settler's Park Memory Care Community

2895 17TH ST
Baker City, OR 97814

Date: 5/3/2021
Report number: 00139357-AP-109690
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate 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: 411-054-0030(1)(e)(I)
External site: 411-054-0036(2)(g)
Findings: Witness 1 (W1) is care planned to go by doors and try to open them, staff are to be aware of W1’s location at all times. On or about May 3, 2021, staff heard a scream coming from Alleged Victim’s (AV’s) apartment and found AV on the floor of the apartment with a goose egg on the back of his/her head. AV stated that W1 knocked on his/her door and when he/she opened, W1 shoved him/her to the ground. Prior to the incident, W1 had been seen wandering down the hall. The facility failed to follow the care plan around W1’s known behaviors, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP22-00180 $375.00 fine assessed