Print Violation: 00265091-AP-220063

Provider Information

Sunset Rose

1514 ATHENS AVE
Pendleton, OR 97801

Date: 5/25/2023
Report number: 00265091-AP-220063
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to follow care plan
Result: Substantiated
Rule(s) Violated: 411-054-0027(1)(f) and (r)
411-054-0028(2)
411-054-0036(2)(g)
Findings: The facility failed to follow the Alleged Victim's (AV) care plan to ensure s/he uses a 4-wheel walker for ambulation, due to AV's instability and fall history. The failure resulted in AV being found outside without his/her walker and had experienced a fall, and was sent to the hospital, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP23-01237 $188.00 fine assessed