Print Violation: 00247783-AP-203801

Provider Information

Tsl Elderhealth And Living Memory Village

382-B SOUTH 58TH ST
Springfield, OR 97478

Date: 2/18/2023
Report number: 00247783-AP-203801
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide safe environment
Result: Substantiated
Rule(s) Violated: External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0030(1)(e)(I)
External site: 411-054-0036(2)(g)
Findings: The facility failed to implement interventions and appropriately monitor Witness 2 (W2) and Alleged Victim (AV) according to their known behaviors and prior altercations. On or about February 18, 2023, AV and W2 had a resident-to-resident altercation in which W2 was the known aggressor and AV was the known instigator. Based on facility documentation and interviews, W2 hit AV on the back of the head as AV walked by W2. The facility's failure to provide a safe environment caused unreasonable discomfort to AV which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP23-00812 $375.00 fine assessed