Print Violation: 00198796-AP-159718

Provider Information

Mt. Angel Orchard House

550 S MAIN ST
Mount Angel, OR 97362

Date: 5/8/2022
Report number: 00198796-AP-159718
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: Alleged Victim (AV) relies on the facility for his/her care. On or about May 8, 2022, AV sustained a fall and hit his/her head and shoulder in his/her room. As a result, AV sustained a fractured pinky and got a bruise on his/her face and had some pain. AV had previously fallen on or about March 16th, 25th and April 16th, 2022. No new fall preventions interventions following AV’s falls in March and April 2022 had been implemented. The facility failed to care plan appropriately and implement interventions to mitigate AV’s risk of falls, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: ALFCP22-00883 $375.00 fine assessed