Print Violation: 00270689-AP-225571

Provider Information

Heron Pointe Senior Living

504 Gwinn Street East
Monmouth, OR 97361

Date: 6/27/2023
Report number: 00270689-AP-225571
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to provide service
Result: Substantiated
Rule(s) Violated: External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0030(1)(e)(A) and (G)
External site: 411-054-0070(1)
Findings: The Alleged Victim (AV) has a history of frequent/continual urinary tract infections. The facility failed to provide appropriate services according to resident needs. According to an investigation, the Alleged Victim’s (AV) call lights were not being answered in a timely manner when AV needed assistance with toileting. According to the activity log, between May 29, 2023, and June 27, 2023, there were approximately forty-three calls that took a response time of fifteen minutes or more, with the longest taking approximately an hour and thirteen minutes due to lack of staff, which resulted in repeated unreasonable discomfort and a loss of dignity. These failures are a violation of resident rights, is neglect of care which constitutes abuse.
Sanction: ALFCP23-00683 $500.00 fine assessed