Print Violation: 00283200-AP-237632

Provider Information

Skylark Memory Care

950 SKYLARK PLACE
Ashland, OR 97520

Date: 8/26/2023
Report number: 00283200-AP-237632
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious 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 had fallen 4 times in June, one fall resulting in a head injury. AV suffered another fall in July, and was placed on one hour safety checks and a new wheelchair was ordered for AV at that time. AV's wheel chair was to have the wheels locked when AV was not in it. On or about August 26, 2023, staff found AV on the floor from a fall. AV was sent to the hospital and was diagnosed with a hip fracture. AV's wheelchair was not locked at the time of his/her fall, nor had AV been checked on hourly, according to documentation. The facility's failure to follow the care plan is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP23-01441 $1350.00 fine assessed