Print Violation: 00205779-AP-166021

Provider Information

Willamette Manor

176 WEST C STREET
Lebanon, OR 97355

Date: 6/17/2022
Report number: 00205779-AP-166021
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: 411-054-0030(1)(e)(I)
External site: 411-054-0036(2)(g)
Findings: The facility failed to implement interventions and appropriately care plan related to the Alleged Victim’s (AV) fall history. On or about June 16, 2022, AV suffered an unwitnessed fall in h/h room. The failure resulted in AV suffering a head injury and experiencing pain and unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse
Sanction: ALFCP23-00694 $375.00 fine assessed