Print Violation: 00182974-AP-145545

Provider Information

Guardian Angel Homes Memory Care

540 NW 12TH ST
Hermiston, OR 97838

Date: 2/5/2022
Report number: 00182974-AP-145545
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to follow care plan
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 February 5, 2022, the facility failed to provide adequate care and supervision to Alleged Victim (AV) which resulted in a fall and broken arm. Based on interviews and facility documentation, AV was care planned to have a pressure alarm under him/her as a fall prevention/intervention for AV's high fall risk. At time of incident, AV did not have a pressure alarm under him/her. The facility's failure to follow AV's care plan resulted in AV suffering unreasonable discomfort which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP22-00973 $1500.00 fine assessed