Print Violation: 00269944-AP-224866

Provider Information

Skylark Memory Care

950 SKYLARK PLACE
Ashland, OR 97520

Date: 6/22/2023
Report number: 00269944-AP-224866
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to follow care plan
Result: Substantiated
Rule(s) Violated: 411-054-0025(1)(a) and (b)
411-054-0027(1)(f) and (r)
411-054-0028(2)
411-054-0036(2)(g)
Findings: The Alleged Victim (AV) is a known fall risk and is care planned for one hour checks, assistance with transfers, toileting before and after meals and physical therapy. Staff are to also ensure that AV's wheelchair is locked at all times. On or about June 22, 2023, at 7:10 am, AV slid out of bed while transferring to his/her wheelchair, and hit his/her head and complained of knee pain. AV's wheelchair was not in the locked position, and AV's last check was at 5:40 am, according to documentation. The facility failed to follow AV's care plan, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP23-01109 $169.00 fine assessed