Print Violation: 00153999-AP-121990

Provider Information

Guardian Angel Homes Memory Care

540 NW 12TH ST
Hermiston, OR 97838

Date: 7/29/2021
Report number: 00153999-AP-121990
Type: Abuse: Neglect
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: The facility failed to provide basic services necessary to maintain Alleged Victim's (AV) health and safety which resulted in AV having a fall with an injury. An investigation determined that AV suffered an unwitnessed fall in his/her bedroom which resulted in AV having a small abrasion to his/her forehead about 1.5 centimeters. AV's care plan states that toileting checks should be done every 2 hours but visual checks are to be done every 30 minutes. At time of incident, it was determined facility failed to follow AV's care plans for toileting checks which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP21-03613 $375.00 fine assessed