Print Violation: 00196316-AP-157344

Provider Information

Timberwood Court Specialty Care Community

2875 SE 14TH AVE
Albany, OR 97322

Date: 4/22/2022
Report number: 00196316-AP-157344
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: 411-054-00070(1)
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0030(1)(e)(A)
External site: 411-054-0036(2)(g)
Findings: The Alleged Victim (AV) has a history of frequent falls. Between November 2021 and April 2022, AV suffered approximately 18 falls, 11 of those instances resulted in pain, injury or being sent out to the Emergency Room (ER). On or about April 22, 2022, it was noticed on AV that he/she had a golf ball sized bruise on his/her inner buttock, causing considerable pain. The next day AV was sent to the ER, and was found his/her bruise had grown in size. On April 24, 2022, AV was found to have a laceration on his/her head with dried blood found on the bathroom floor. The facility failed to implement reasonable interventions, properly care plan and have enough staff available to prevent AV's falls. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP22-01152 $1500.00 fine assessed