Print Violation: 00150412-AP-119072

Provider Information

Tanner Spring Memory Care

23000 HORIZON DRIVE
West Linn, OR 97068

Date: 7/15/2021
Report number: 00150412-AP-119072
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate 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: On or about July 15, 2021, Alleged Victim (AV) was found in another resident's room with yogurt on himself/herself, the other resident, and the walls. AV has a history of wandering the facility and becoming agitated. At time of incident, AV became agitated as staff guided AV out of the other resident's room and AV hit their foot on the door frame, causing injury. Based on interviews and facility documentation, the facility failed to provide adequate interventions to address AV's behavior which is a violation of resident rights, is considered neglect of care and constitutes abuse. The allegation that Alleged Perpetrator 2 (AP2) physically abused AV was investigated and findings determined no abuse occurred by AP2.
Sanction: RCFCP22-00929 $500.00 fine assessed