Print Violation: 00278111-AP-236299

Provider Information

Pelican Pointe Assisted Living Community

615 WASHBURN WAY
Klamath Falls, OR 97603

Date: 8/2/2023
Report number: 00278111-AP-236299
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: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings: The Alleged Victim (AV) is a known fall risk. On or about August 7, 2023, AV suffered 3 separate falls and was sent to the emergency room, where it was determined he/she injured his/her back. AV had a previous fall on August 3, 2023, and no new interventions to prevent falls were put into place. No assessments were completed on AV to determine the best way to prevent AV's falls. The facility's failure to properly care plan is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: ALFCP23-00716 $1000.00 fine assessed