Print Violation: 00301171-AP-254390

Provider Information

Timber Town Living

1116 W CENTRAL AVENUE
Sutherlin, OR 97479

Date: 12/9/2023
Report number: 00301171-AP-254390
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to follow care plan
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 care planned for a pressure alarm to be under him/her at all times to alert staff when AV is transferring. According to an investigation, on or about December 9, 2023, AV experienced a fall and was found on the floor with an injury above his/her eye, an injury to his/her right shoulder and a scratch on his/her hand. It was discovered during the investigation that at the time of the fall, AV’s pressure alarm was being used by another resident. The facility failed to follow AV’s care plan, which is a violation of resident rights, is neglect of care which constitutes abuse.
Sanction: RCFCP24-00442 $250.00 fine assessed