Print Violation: 00254559-AP-210139

Provider Information

New Friends of Coos Bay

955 KENTUCKY AVE
Coos Bay, OR 97420

Date: 3/24/2023
Report number: 00254559-AP-210139
Type: Licensing Violation
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: 411-054-0036(2)(g)
Findings: Alleged Victim (AV) relies on the facility for his/her care. AV is care planned to have skin protectors on his/her arms. On or about March 24, 2023, Alleged Perpetrators #2-4(AP2-4), were assigned to care for the AV, and AV was found without the skin protectors on and a scratch on AVs elbow. An investigation revealed AP3 failed to follow the care plan, and AP2 and AP4 results were inconclusive. AP3s actions/inactions is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to ensure the care plan was being followed, which is a violation of Oregon Administrative Rules.