Print Violation: 00189319-AP-151136

Provider Information

Mill View Memory Care

1290 SW SILVER LAKE BLVD
Bend, OR 97702

Date: 3/14/2022
Report number: 00189319-AP-151136
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)
Findings: The facility failed to implement interventions and provide appropriate supervision related to the Alleged Victim’s (AV) known history of falls. On or about March 14, 2022, AV had four falls in one day prior to AV getting admitted to the hospital with a diagnosis of a broken knee cap. Based on interviews and facility documentation, it was determined that facility failed to train staff members how to appropriately respond to incidents, and implement additional safety precautions, in order to mitigate the risk to AV, which led to the AV's multiple injuries and complaints of pain on March 14, 2022. The facility failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP22-01256 $375.00 fine assessed