Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00280568-AP-235219
Provider Information
The Springs at Willowcreek
4398 GLENCOE ST NE
Salem, OR 97301
- Provider ID
- 50M174
- Administrator
- Melissa Lackey
- Phone
- (503) 581-4239
- mlackey@thespringsliving.com
Violation Details
- Date
- 8/15/2023
- Report number
- 00280568-AP-235219
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to assure timely medical treatment
- Result
- Substantiated
- Rule(s) Violated
-
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(g) and (s)
- Findings
- According to the documentation, the Alleged Perpetrator 2 (AP2) and Alleged Perpetrator 3 (AP3) failed to ensure the Alleged Victim (AV) received timely medical treatment after experiencing a change of condition. On or about August 15, 2023, the AV was found on the floor with vomit near them. Staff reported to AP2 during the night shift that AV had fallen and had vomit near their mouth. There is not documented evidence of AP2 checking on the AV during the night shift. During shift change, AP2 allegedly did not report the change of condition to AP3 at around 6:00 am. After shift change, two staff members reported to AP3 the change of condition of the AV and that they were still in bed, which was not typical for the AV. AP3 did not check on the AV, as a result, delaying medical treatment. At around 10:49 am, AP3 contacted their supervisor which directed them to call EMS due to AV being non-responsive. The AV was later pronounced dead at the hospital. The failure to ensure the AV received timely medical treatment after experiencing a change of condition by AP2 and AP3 is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to provide timely medical treatment to the AV which is a violation of Oregon Administrative Rules.