Print Violation: 00199476-AP-160370

Provider Information

Jefferson Lodge Memory Care Community

664 SE JEFFERSON ST
Dallas, OR 97338

Date: 5/11/2022
Report number: 00199476-AP-160370
Type: Abuse: Neglect
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)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings: Alleged Victim (AV) is care planned to have Geri-Sleeves on both arms during all waking hours. On or about May 11, 2022, AV was not wearing Geri-Sleeves and sustained a skin tear to h/h right arm while being transferred in a Hoyer Lift. The facility failed to follow the care plan which is a violation of resident’s rights is neglect of care and constitutes abuse.
Sanction: RCFCP22-01519 $500.00 fine assessed