Print Violation: 00151162-AP-119635

Provider Information

The Arbor at Avamere Court

450 CLAGGETT COURT N
Keizer, OR 97303

Date: 7/21/2021
Report number: 00151162-AP-119635
Type: Licensing Violation
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to provide safe environment
Result: Substantiated
Rule(s) Violated: External site: 411-054-0025(1)(a) and (b)
Findings: Alleged Perpetrator 2 (AP2) failed to follow Alleged Victim's (AV) care plan which resulted in AV falling in his/her bathroom sustaining a head injury and was sent to the hospital for treatment. An investigation determined that AP2 forgot to turn on AV's sensor pad to alert staff when AV attempts to self transfer. AP2's action is considered neglect of care and constitutes abuse. The facility failed to provide a safe environment for AV which is a violation of Oregon Administrative Rules.