Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00146711-AP-115969
Provider Information
Tanner Spring Memory Care
23000 HORIZON DRIVE
West Linn, OR 97068
- Provider ID
- 50R366
- Administrator
- Maria Osuna
- Phone
- (503) 655-4373
- mc.director@tannerspringsl.com
Violation Details
- Date
- 6/26/2021
- Report number
- 00146711-AP-115969
- 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
- The facility failed to implement interventions and provide appropriate supervision related to the Alleged Victim’s (AV) known history of falls. The failure resulted in AV experiencing three falls between May 2, 2021, and June 20, 2021, without facility implementing appropriate fall interventions. AV experienced another fall on June 26, 2021, which resulted in a head injury, causing AV unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP23-00105 $1500.00 fine assessed