Print Violation: 00160934-AP-127640

Provider Information

Tanner Spring Memory Care

23000 HORIZON DRIVE
West Linn, OR 97068

Date: 9/18/2021
Report number: 00160934-AP-127640
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to provide oversight and monitoring of change of condition
Result: Substantiated
Rule(s) Violated: External site: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
External site: 411-054-0040(1)(a) and (d)
Findings: The facility failed to assess and intervene when the Alleged Victim (AV) experienced a change of condition. On or about September 10, 2021, AV began to refuse to get out of bed and exhibited an increase in behaviors. On or about September 18, 2021, AV continued to refuse care and was more combative with staff which resulted in staff refusing to assist AV with his/her Activities of Daily Living (ADL) because of AV's behaviors and safety issues. AV was later diagnosed with a Urinary Tract Infection (UTI). The facility's failure to provide oversight and monitoring of AV's change of condition caused AV unreasonable discomfort, due to staff failing to get a timely urine sample as ordered, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP24-01081 $500.00 fine assessed