Print Violation: 00236622-AP-193957

Provider Information

Oak Lane Residential Care Facility

727 SW ROGUE RIVER AVENUE
Grants Pass, OR 97526

Date: 12/13/2022
Report number: 00236622-AP-193957
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 provide appropriate supervision related to the Alleged Victim’s (AV) known history of falls. Based on facility documentation and interviews, AV had multiple falls while under facility supervision between October 30, 2022 and December 14, 2022. AV fell a total of five (5) times in the month of November 2022 and the facility failed to take appropriate action after each of these falls. AV fell again on December 14, 2022, while in his/her bathroom causing AV pain and unreasonable discomfort. The facility's failure to properly care plan for AV's fall risk resulted in AV experiencing several falls is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP23-00519 $500.00 fine assessed