Print Violation: 00226794-AP-195566

Provider Information

Guardian Angel Homes Memory Care

540 NW 12TH ST
Hermiston, OR 97838

Date: 10/17/2022
Report number: 00226794-AP-195566
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)
Findings: The facility failed to implement interventions and appropriately care plan after the Alleged Victim (AV) returned to the facility on October 13, 2022, from the hospital for an October 8, 2022 fall that caused AV a broken hip and required surgery. After AV returned to the facility, AV suffered another fall on October 17, 2022, after a fall on October 15, 2022, and after AV returned to the facility on October 13, 2022, from the hospital. The fall on October 17, 2022, resulted in pain and unreasonable discomfort for AV. The facility's failure to provide adequate care and supervision to AV resulted in a risk of serious harm which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP23-00113 $3000.00 fine assessed