Print Violation: 00255414-AP-210940

Provider Information

The Arbor at Avamere Court

450 CLAGGETT COURT N
Keizer, OR 97303

Date: 3/1/2023
Report number: 00255414-AP-210940
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to properly plan care
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 implement interventions and provide appropriate supervision related to the Alleged Victim’s (AV) known history of falls. Based on facility documentation and interviews, AV fell on December 1, 2022, on December 21, 2022, on January 25, 2023, on February 26, 2023, and on March 15, 2023. The facility failed to develop sufficient fall preventions/interventions to AV's care plan following AV's fall on February 26, 2023. AV fell again on March 15, 2023, causing injury to his/her face. The facility's failure to appropriately care plan for AV's fall risk, caused unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP23-00614 $500.00 fine assessed