Print Violation: 00152564-AP-120873

Provider Information

Tanner Spring Memory Care

23000 HORIZON DRIVE
West Linn, OR 97068

Date: 7/6/2021
Report number: 00152564-AP-120873
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: On or about July 27, 2021, Alleged Victim (AV) had an unwitnessed fall which resulted in AV being sent to the hospital for treatment. AV was diagnosed with a large hematoma as result of this fall. An investigation determined that AV has a history of prior falls and the facility failed to address fall interventions and facility staff provided conflicting direction on level of assistance AV requires. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP22-00707 $1125.00 fine assessed