Print Violation: 00198536-AP-159473

Provider Information

Springs at Clackamas Woods ALF

14404 SE WEBSTER RD
Milwaukie, OR 97267

Date: 5/6/2022
Report number: 00198536-AP-159473
Type: Licensing Violation
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to follow care plan
Result: Substantiated
Rule(s) Violated: External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(r)
Findings: The Alleged Perpetrator 2 (AP2) failed to follow the Alleged Victim's (AV) care plan to ensure a fall mat was in place when AV was in bed. The failure resulted in AV falling from his/her bed onto the floor causing unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to ensure AV's care plan was followed, which is a violation of Oregon Administrative Rules.