Print Violation: 00141954-AP-111922

Provider Information

Bridgecreek Memory Care

1401 S 12TH STREET
Lebanon, OR 97355

Date: 5/21/2021
Report number: 00141954-AP-111922
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to use restraint properly
Result: Substantiated
Rule(s) Violated: External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
Findings: Alleged Victim (AV) relies on the facility for his/her care. On or about May 21, 2021, Alleged Perpetrator 2 (AP2), initiated a service plan update for AV, instructing staff to keep AV within line of sight at all times, or for AV to receive 15-minutes checks. The service plan instructed staff to have AV at the front desk, near the med room, in the dining room, or in the laundry room to ensure staff observation. Staff began to place AV in a recliner in the reception area of the facility, with the legs of the recliner up. AP2 did not ensure that AV received a nursing assessment for a potentially restrictive device prior to the regular use of the reclined recliner. AV spent the majority of his/her time in the recliner, in the reception area of the facility, after the implementation of the recliner. AP2 was aware of the use of the recliner and failed to provide staff with information and instruction to ensure that the recliner did not have restraining qualities. AP2 and the facility failed to use restraint properly, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP22-00524 $500.00 fine assessed