Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00264641-AP-220104
Provider Information
Blue Haven Memory Care - Independence
202 SOUTH 9TH STREET
Independence, OR 97351
- Provider ID
- 50R225
- Administrator
- Carma Rowell
- Phone
- (503) 838-0330
- carma.rowell@skyvalleygroup.com
Violation Details
- Date
- 3/15/2023
- Report number
- 00264641-AP-220104
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to properly plan care
- Result
- Substantiated
- Rule(s) Violated
-
External site: 411-054-0027(1)(g) and (s)
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. On or about March 15, 2023, AV had an assisted fall and continued to sway and stumble all night. On or about March 22, 2023, AV had a fall. On or about March 30, 2023, AV had an injury fall, staff found AV sitting on the floor outside of AV’s bathroom and AV was bleeding on the back of his/her head. AV was transported to the hospital where he received staples for the injury. AV is care planned to be a fall risk; however, no new interventions have been implemented to prevent future falls. The facility failed to care plan and mitigate AV’s risk of falls, which is a violation of resident rights, is neglect of care and constitutes abuse.
- Sanction
- RCFCP25-00503 $2500.00 fine assessed