Print Violation: 00146664-AP-115921

Provider Information

Desire For Healing Inc

44882 MISSION RD
Pendleton, OR 97801

Date: 6/24/2021
Report number: 00146664-AP-115921
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious 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: 411-054-0036(2)(g)
Findings: Alleged Victim (AV) is care planned to be escorted from and to the dining room. On or about June 24, 2021, AV was ambulating to breakfast when his/she was last seen by the vending machines. Five (5) minutes later, staff heard a STAT call to the smoking area. AV had eloped from the facility, fallen and sustained a fracture to his/her right radius. The facility failed to follow the care plan, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP21-03328 $1125.00 fine assessed