Print Violation: 00237784-AP-194968

Provider Information

New Friends of Coos Bay

955 KENTUCKY AVE
Coos Bay, OR 97420

Date: 12/6/2022
Report number: 00237784-AP-194968
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate 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: 411-054-0030 (1)(e)(G)
External site: 411-054-0036(2)(g)
Findings: The facility failed to follow Alleged Victim (AV) care plan. AV is care planned for toileting, staff to check/change AV four (4) times per shift, day, evening, and NOC; skin condition, staff to apply barrier cream with every check/change, staff will wash and dry during incontinence check/changes with applying barrier cream. Documentation provided to the department indicates on or about October 08, 2022, AV had redness to perineal area. Documentation indicates there are several days approximately in October and November 2022, in which there are no documented check/changes during AM and or PM shift, and no documentation of the barrier cream being applied, contributing to an ongoing rash. The facility’s failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP23-00500 $500.00 fine assessed