Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00220665-AP-179783
Provider Information
Meadowlark Senior Living
181 S 5TH STREET
Lebanon, OR 97355
- Provider ID
- 70A297
- Administrator
- Abigail Warthen
- Phone
- (458) 309-9991
- ed@meadowlarksl.com
Violation Details
- Date
- 9/11/2022
- Report number
- 00220665-AP-179783
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide safe environment
- Result
- Substantiated
- Rule(s) Violated
-
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0030(1)(e)(A), (G-I)
External site: 411-054-0036(2)(g)
- Findings
- Under the prior ownership, Alleged Victim (AV) CAPS Assessment dated on or about December 15, 2021, indicates AV experiences paralysis on AV's left side, is a full assist with ambulation, uses a power chair for most ambulation, can walk a little way with the support of a caregiver, is a full assist with transfers, AV's left leg is paralyzed and is unable to use it in transitioning, is a full assist with toileting, and has a history of having several falls and not calling for assistance. AV has impulsiveness and is not cognizant to the safety and help AV requires. AV Service Plan dated on or about May 2, 2022, indicates AV needs constant reminders to use the call, has a hemi-walker and a quad cane that s/he will occasionally use for transfers into h/h wheelchair, uses an electric wheelchair and is independent with transferring into it. AV is independent with mobility with the use of h/h assistive devices and independent in transferring. AV is a high fall risk and has had a few falls in the past couple of months. AV requires extended care with getting dressed and needs assistance in pulling h/h pants up. AV needs occasional monitoring, guidance, or cueing and has some mild confusion and short-term memory loss. Documentation provided during investigation indicates AV had approximately nine (9) falls in approximately five (5) months from approximately March 18, 2022, to September 11, 2022. The falls are reported as AV slipping out of bed, being found on bathroom floor after tripping over powerchair, and slipping out of scooter seat, slipping on bathroom floor not wearing shoes. The CAPS assessment and Care plan are not aligned in AV capabilities and needs. There is no TSP or update to the care noted after each of AV falls. On or about September 11, 2022, AV fell in the bathroom when AV was transferring self from Wheelchair to toilet and lost h/h footing. AV hit AV's left hip and forehead on the wall and was transported to the emergency room. At the time of the incident, the only intervention in place for falls was to take AV's vitals daily. The facility failed to implement interventions and/or appropriately care plan for AV’s continued falls, which is a violation of resident rights is neglect of care and constitutes abuse.