Print Violation: 00230518-AP-188469

Provider Information

Dallas Retirement Village Assisted Living

340 NW BRENTWOOD ST
Dallas, OR 97338

Date: 11/3/2022
Report number: 00230518-AP-188469
Type: Licensing Violation
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to follow care plan
Result: Substantiated
Rule(s) Violated: External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings: Alleged Victim (AV) relies on the facility for his/her care. AV is care planned to have staff stand behind AV and use a padded gait belt when providing mobility assistance. On or about November 03, 2022, Alleged Perpetrator #2 (AP2) was providing toileting, and transfer care to AV. AP2 did not use a padded gait belt at the time of the transfer. AV fell and sustained a fracture left hip and a laceration to h/h head. AP2 failed to follow the care plan, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to ensure the care plan was being followed, which is a violation of Oregon Administrative Rules.