Print Violation: 00145064-AP-114643

Provider Information

Fieldstone Village at Keizer Ridge

1165 MCGEE COURT NE
Keizer, OR 97303

Date: 6/10/2021
Report number: 00145064-AP-114643
Type: Licensing Violation
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide safe environment
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: 411-054-0030(1)(e)(I)
External site: 411-054-0036(2)(g)
Findings: The facility failed to update the Alleged Victim's (AV) service plan for interventions to reduce the risk of falls after AV suffered two falls within two days due to weakness. AV suffered a third fall on June 8th still without documentation of any interventions. On June 10th, AV fell again while staff were trying to transfer him/her to a wheelchair, resulting in a cut to his/her finger and a fractured pelvis. The facility's failure is a violation of Oregon Administrative Rules.