Print Violation: 00246259-AP-202422

Provider Information

Tsl Elderhealth And Living Memory Village

382-B SOUTH 58TH ST
Springfield, OR 97478

Date: 2/9/2023
Report number: 00246259-AP-202422
Type: Licensing Violation
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to provide safe environment
Result: Substantiated
Rule(s) Violated: External site: 411-054-0025(1)(a) and (b)
Findings: On or about February 9, 2023, Alleged Perpetrator 2 (AP2) failed to follow Alleged Victim's (AV) care plan when AP2 left AV alone to check on other residents and AP2 attempted to get up without assistance by AP2 causing AV's seat alarm to activate. When AP2 returned and observed AV standing, AP2 failed to immediately assist AV with ambulating and transferring to a safe seating position. Instead, AP2 turned off AV's seat alarm and left AV in an unsafe standing position which resulted in AV falling and striking his/her left side on his/her walker. AP2's failure to provide adequate supervision to AV, resulting AV falling and being sent to the hospital in which AV was diagnosed with a hip fracture and required surgery. AP2's actions is considered neglect of care which constitutes abuse. The facility's failure to provide a safe environment for AV is a violation of Oregon Administrative Rules.