Print Violation: 00201099-AP-161843

Provider Information

Cedarbrook Place Memory Care

721 NE 27TH ST
Mcminnville, OR 97128

Date: 5/22/2022
Report number: 00201099-AP-161843
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)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings: According to the documentation, the facility failed to follow the service plan for the Alleged Victim (AV) for routine checks and nighttime care. AV was service planned to have two hour checks and a midnight check for routine bedtime care. On or about May 21, 2022, Staff did not check on the AV after 8:00 pm check. The AV was service planned to have a midnight bedtime care for catheter care. at around 4:00 am, the AV was found in their bathroom with urine and feces on the AV’s shower seat. The failure to follow safety checks every two hours as outlined on the AV’s service plan caused the AV unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP25-01017 $188.00 fine assessed