Print Violation: 00217834-AP-176876

Provider Information

Compass Rose Memory Care

2690 NE YACHT AVE
Lincoln City, OR 97367

Date: 8/26/2022
Report number: 00217834-AP-176876
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to properly plan care
Result: Substantiated
Rule(s) Violated: External site: 411-054-0027(1)(a)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings: Alleged Victim (AV) is a high fall risk and has history of falls. AV is care planned as independent with ambulation, using an assistive device. On or about August 23, 2022, and August 26, 2022, AV fell resulting in h/h being sent to the Emergency room (ER) due to swollen, painful knees and having difficulty standing and transferring. AV returned from the ER with a diagnosis of joint effusion and wearing a knee brace immobilizer. The facility failed to appropriately care plan and implement reasonable interventions to address AV’s increasing and ongoing falls, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP23-00458 $500.00 fine assessed