Print Violation: 00289990-AP-244000

Provider Information

Guardian Angel Homes Memory Care

540 NW 12TH ST
Hermiston, OR 97838

Date: 10/9/2023
Report number: 00289990-AP-244000
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide safe environment
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)(I)
External site: 411-054-0036(2)(g)
Findings: The facility failed to appropriately monitor Witness 1 (W1) and Alleged Victim (AV) according to their known behaviors. On or about October 9, 2023, AV walked into W1's room and W1 grabbed both of AV's wrists, squeezing them very tight which resulted in an open skin tear for AV. The failure resulted in unreasonable discomfort to the AV, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP23-01474 $375.00 fine assessed