Print Violation: 00143668-AP-113396

Provider Information

Tanner Spring Memory Care

23000 HORIZON DRIVE
West Linn, OR 97068

Date: 2/1/2021
Report number: 00143668-AP-113396
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious 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)
Findings: Alleged Victim (AV) has a history of falls. AV does not know how to use the call-light when needing assistance and AV needs assistance when toileting. On or about February 1, 2021, AV had an unwitnessed fall while self-toileting. On February 5, 2021, AV had increased pain and was sent to the hospital where he/she was diagnosed with left rib fractures of ribs #8-11. The facility failed to care plan appropriately and implement interventions to mitigate AV’s risk of falls, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP22-00200 $1500.00 fine assessed