Aging and People with Disabilities
Safety, Oversight and Quality
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
- 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
- Rule(s) Violated
-
External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
- 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