Print Violation: 00206376-AP-166504

Provider Information

Heron Pointe Senior Living

504 Gwinn Street East
Monmouth, OR 97361

Date: 6/20/2022
Report number: 00206376-AP-166504
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)
External site: 411-054-0040(1)(b) and (c)
Findings: The facility failed to implement interventions and appropriately care plan related to AV’s history of falls. AV experienced approximately eighteen falls, with the majority being unwitnessed, from approximately May 26, 2022, and June 20, 2022. AV experienced repeated unreasonable discomfort, including skin tears and bruising. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: ALFCP22-00832 $1125.00 fine assessed