Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00209288-AP-169135
Provider Information
New Friends of Coos Bay
955 KENTUCKY AVE
Coos Bay, OR 97420
- Provider ID
- 50R491
- Administrator
- Jessi Caywood
- Phone
- (541) 808-9730
- ed@newfriendsofcoosbay.com
Violation Details
- Date
- 6/22/2022
- Report number
- 00209288-AP-169135
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to provide oversight and monitoring of change of condition
- Result
- Substantiated
- Rule(s) Violated
-
External site: 411-054-0025(1)(a) and (b)l 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0040(1)(b) and (c)
External site: 411-054-0040(2)(a)
- Findings
- Initial: According to witnesses and documentation, the Alleged Perpetrator 2 (AP2) failed to adequately monitor, assess, and document AV's skin condition, which resulted in AV not receiving timely medical treatment. AV experienced pain and discomfort and on or about July 22, 2022, the AV was sent to the hospital where AV passed away a few days later. AP2 did not follow proper procedure for wound care. AP2's actions are considered neglect and constitutes abuse. The facility allegedly failed to provide oversight and monitoring of change of condition, which is a violation of resident rights, is considered neglect of care and constitutes abuse. Amended: Removed language is shown as [bracketed]. According to witnesses and documentation, the Alleged Perpetrator 2 (AP2) failed to adequately monitor, assess, and document AV's skin condition, which resulted in AV not receiving timely medical treatment. [AV experienced pain and discomfort and on or about July 22, 2022, the AV was sent to the hospital where AV passed away a few days later] AV was sent for medical treatment on June 22, 2022. AP2 did not follow proper procedure for wound care. AP2's actions are considered neglect and constitutes abuse. The facility allegedly failed to provide oversight and monitoring of change of condition, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP23-00894 $1500.00 fine assessed