Print Violation: 00161725-AP-128525

Provider Information

Compass Rose Memory Care

2690 NE YACHT AVE
Lincoln City, OR 97367

Date: 7/8/2021
Report number: 00161725-AP-128525
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to properly plan care
Result: Substantiated
Rule(s) Violated: External site: 411-054-0027(1)(a)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings: Alleged Victim (AV) relies on the facility for his/her care. AV has a history of thirteen (13) falls in less than two months. AV has sustained multiple bruises, skin tears, and has required two (2) trips to the emergency room. On or about September 06, 2021, AV experienced an un-witnessed fall resulting in skin tear to Av's left elbow. The facility failed to appropriately care plan and implement reasonable interventions to address Av's falls, which is violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP22-00370 $1000.00 fine assessed