Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00172291-AP-136833
Provider Information
Compass Rose Memory Care
2690 NE YACHT AVE
Lincoln City, OR 97367
- Provider ID
- 50R311
- Administrator
- William Poling
- Phone
- (541) 994-7400
- pdlincolncity@westmontliving.com
Violation Details
- Date
- 11/28/2021
- Report number
- 00172291-AP-136833
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to properly plan care
- 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)
External site: 411-054-0040(1)(b) and (c)
- Findings
- Alleged Victim (AV) relies on the facility for his/her care. AV had eleven falls between June 1, 2021, and November 28, 2021. Based on interviews and facility documentation, eight of the eleven falls resulted in emergency medical treatment with the fall on November 28, 2021, causing AV a head injury. The facility failed to appropriately care plan and implement proper interventions to mitigate AV's fall risk. This failure is a violation of resident rights, is neglect of care which constitutes abuse.
- Sanction
- RCFCP22-00787 $1500.00 fine assessed