Print Violation: 00167543-AP-132920

Provider Information

Emerald Gardens

1890 NEWBERG HWY
Woodburn, OR 97071

Date: 10/28/2021
Report number: 00167543-AP-132920
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide service
Result: Substantiated
Rule(s) Violated: 411-054-0025(1)(a) and (b)
411-054-0027(1)(g) and (s)
411-054-0028(2)
411-054-0036(2)(g)
Findings: The Alleged Victim (AV) is a known fall risk with a history of falls. According to an investigation AV fell on or about October 28, 2021, resulting in multiple skin injuries. The facility failed to provide appropriate services according to Alleged Victim’s needs, relating to care planning and lack of appropriate interventions, to mitigate the risk of injury due to AV's increase in falls, which is a violation of resident rights, is neglect of care which constitutes abuse.
Sanction: RCFCP25-00543 $188.00 fine assessed