Print Violation: 00159984-AP-126889

Provider Information

Guardian Angel Homes Memory Care

540 NW 12TH ST
Hermiston, OR 97838

Date: 9/11/2021
Report number: 00159984-AP-126889
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to provide safe environment
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 September 11, 2021, the facility failed to provide a safe environment for Alleged Victim (AV) which resulted in AV losing consciousness resulting in a fall that required AV be sent to the hospital for treatment in which AV was diagnosed with a fractured femur. An investigation determined that AV suffered multiple falls while under facility's care without facility implementing appropriate interventions to protect AV from his/her fall risk. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP22-00512 $1125.00 fine assessed