Print Violation: 00251370-AP-207135

Provider Information

Guardian Angel Homes Memory Care

540 NW 12TH ST
Hermiston, OR 97838

Date: 3/10/2023
Report number: 00251370-AP-207135
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: 411-054-0036(2)(g)
Findings: The facility failed to provide adequate care and supervision to Alleged Victim (AV) which resulted in a fall that caused AV facial cuts, bruising, and a fractured forearm/wrist. Based on facility documentation and interviews, AV was found on the floor in the hallway in front of his/her apartment. A crevice between the floor in the apartment and the hallway was not covered with a threshold strip and there is a difference in height between the two floors which appears to be a tripping hazard. The facility's failure to provide a safe environment for AV, resulted in AV experiencing unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP23-00820 $375.00 fine assessed