Print Violation: 00254293-AP-209879

Provider Information

Elite Care Larch - Tabor

4425 SE OATFIELD HILL RD
Milwaukie, OR 97267

Date: 3/27/2023
Report number: 00254293-AP-209879
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to follow care plan
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 Alleged Victim (AV) has a history of behaviors and sustaining injuries while using his/her motorized chair. AV’s behavioral plan states to offer to help AV into their motorized chair and spend one-on-one time with AV when he/she becomes agitated. According to an investigation, on or about May 27, 2023, AV was found in his/her motorized chair with a fractured leg and their room in disarray. According to documentation and witnesses, approximately twenty to thirty minutes prior to the incident, the AV was placed into his/her motorized chair and left alone in his/her room as a re-directive method due to continued behaviors. It was also discovered that facility staff has used this re-directive method on several occasions. The facility failed to provide oversight to ensure facility staff followed AV’s behavioral support plan, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP23-01259 $500.00 fine assessed