Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00140059-AP-110235
Provider Information
The Atrium at Mcloughlin Place
1153 MOLALLA AVE
Oregon City, OR 97045
- Provider ID
- 5MA162
- Administrator
- KORRISSA SLATE
- Phone
- (503) 655-3337
- korissa.slate@mcloughlinplace.net
Violation Details
- Date
- 5/16/2021
- Report number
- 00140059-AP-110235
- Type
- Abuse: Neglect
- Level
- 4 - Serious harm, death, imminent danger or chronic regulatory noncompliance
- Allegation
- Failed to provide safe environment
- Result
- Substantiated
- Rule(s) Violated
-
External site: 411-054-0027(1)(f) & (r)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
- Findings
- Alleged Victim (AV) had a known history of touching others in a reassuring manner and Witness 1 (W1) had a known history of aggressive behaviors. On or about May 16, 2021, AV touched another resident which resulted in that resident grabbing AV and throwing him/her to the ground. AV was transferred to the hospital and diagnosed with a hip fracture. AV died May 28, 2021 due to the traumatic nature of the hip fracture. The facility failed to appropriately care plan regarding AV's known behaviors and provide a safe environment, which is neglect of care and constitutes abuse.
- Sanction
- RCFCP21-03462 $2250.00 fine assessed