Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

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Print Violation: 00205904-AP-166116

Provider Information


Sweet Home RCF

950 NANDINA ST
Sweet Home, OR 97386

Provider ID
50R493
Administrator
Heather Prater
Phone
(554) 135-9080
Email
hprater@sapphirehealthservices.com

Violation Details


Date
6/17/2022
Report number
00205904-AP-166116
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to properly plan care
Result
Substantiated
Findings
The Alleged Victim (AV) is care planned for one person assist with transfers and has a history of falls, several related to self-transferring without assistance. AV had approximately 22 falls between March 2022, and May 2022, resulting in injuries, including bruises and abrasions to his/her back, abrasions to knees, redness to forehead, swollen ankle, and bruising on hand. The facility failed to properly care plan to mitigate risk of falls and self-transferring. This failure is a violation of resident rights, is neglect of care which constitutes abuse.
Sanction
RCFCP23-01075 $500.00 fine assessed