Print Violation: 00221168-AP-179960

Provider Information

Willow Creek Assisted Living

175 NE 16TH STREET
Madras, OR 97741

Date: 9/14/2022
Report number: 00221168-AP-179960
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to follow care plan
Result: Substantiated
Rule(s) Violated: 411-054-0025(1)(a) and (b)
411-054-0027(1)(f) and (r)
411-054-0028(2)
411-054-0036(2)(g)
Findings: On or about September 1, 2022, the Alleged Victim (AV) was admitted to the facility with an order for oxygen and AV's care plan indicated that AV was to receive oxygen. On or about September 14, 2022, AV was admitted to the hospital with low oxygen saturation levels. AV had not received his/her oxygen from September 1, 2022 to September 14, 2022, placing AV at risk for serious harm. The facility's failure to follow AV's care plan is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: ALFCP22-01039 $1500.00 fine assessed