Print Violation: 00200578-AP-161353

Provider Information

Grande Ronde Retirement Residence

1809 GEKELER LANE
La Grande, OR 97850

Date: 5/18/2022
Report number: 00200578-AP-161353
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to follow care plan
Result: Substantiated
Rule(s) Violated: 411-054-0025(1)(a) and (b)
411-054-0027(1)(f) and (r)
411-054-0028(2)
411-054-0036(2)(g)
411-054-0070(1)(6)
Findings: The facility failed to ensure staff were reading and following care plans. The Alleged Victim (AV) was care planned for two person assist with a gait belt. Some staff knew but didn't follow the care plan, other staff had not read the care plan and didn't know AV was a two person assist with a gait belt. Because staff were not following the care plan, these actions placed AV at risk for harm. The facility's failure to follow the care plan is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: ALFCP22-00763 $250.00 fine assessed