Print Violation: 00294368-AP-248148

Provider Information

Willamette Springs Memory Care

6000 SW MOSAIC DRIVE
Corvallis, OR 97333

Date: 8/8/2023
Report number: 00294368-AP-248148
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: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0030(1)(e)(A), (H) and (I) and
External site: 411-054-0036(2)(g)
Findings: Alleged Victim (AV) has a history of falls and is not consistent with using a cane or a walker. AV Service Plan, dated June 19, 2023, indicates AV has poor gait, has an assistive device of cane or walker, staff are to make sure that AV has AV's walker next to AV or within reach for safety. And AV can choose what ambulation device. Fall prevention included staff are to check on AV no less than 4 times a shift and when AV is weak or tired encourage h/h to use walker instead of a cane. On or about August 8, 2023, AV was attempting to enter another resident’s room when W1 tried to stop AV from entering. W1 was attempting to redirect AV by hold onto both AV hands, resulting in AV falling and sustaining a skin tear to AV's left forearm. The facility failed to appropriately care plan and implement reasonable interventions to address AV’s falls, which is violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP25-00246 $500.00 fine assessed