Print Violation: 00150437-AP-119043

Provider Information

Kinsington Oak Grove

77 OAK GROVE ROAD
Medford, OR 97501

Date: 7/16/2021
Report number: 00150437-AP-119043
Type: Licensing Violation
Level: 2 - Minor harm or potential for moderate 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 have frequent checks at night. On or about July 16, 2021, AV had an unwitnessed fall that caused a broken nose. At around 3:15 am, AV left his/her room and was not found until 5:30 am. Alleged Perpetrator 2 (AP2) was sitting in the kitchen when AV walked out of his/her room and did not do safety checks as required. AP2 failed to follow the care plan, which is neglect of care and constitutes abuse. The facility failed to assure AV’s care plan was been followed, which is a violation of Oregon Administrative Rules.