Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00302788-AP-255833
Provider Information
Willamette Springs Memory Care
6000 SW MOSAIC DRIVE
Corvallis, OR 97333
- Provider ID
- 50M436
- Administrator
- Kimberly Blanchard
- Phone
- (541) 497-9707
- ed@willamettesprings.com
Violation Details
- Date
- 12/19/2023
- Report number
- 00302788-AP-255833
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to properly plan care
- 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
- Alleged Victim (AV) has a diagnosis of dementia, poor short-term memory and has a history of falls. AV suffered seven falls in the two months prior to December 19, 2023. Of the seven falls, AV experienced injuries as a result of four of them. Service Plan for AV, dated November 16, 2023, AV has a history of ambulation and transferring concerns (service plan does not note what these concerns are), AV is independent in transfers, AV may need stand by assistance with transfers on days AV is feeling weak, AV uses a walker to assist with ambulation, AV has not had falls in the last 90 days, AV has balance issues, AV is able to perform toileting tasks such as: getting to the toilet, removing pants and brief, using the toilet, peri care, changing h/h brief, and pulling up h/h pants, AV is able to use the call light to request assistance with toileting, Staff are to check on AV at the beginning, middle and end of each shift. Staff are to offer AV toileting assistance during these checks. Fall interventions include: Staff are to offer toileting assistance on last rounds, Staff are to make sure they are offering AV toileting assistance during checks, Staff are to make sure they are assisting AV with toileting prior to assisting AV to bed, Staff are to make sure that AV is in the middle of h/h bed during checks, Staff checks should occur at the beginning, middle and end of each shift. On December 19, 2023, AV experienced a fall was transported to the hospital and was found to have a laceration to h/h lower lip that required treatment, extensive bruising to h/h left arm, left flank, and abdomen, and multiple rib fractures. Also noted in hospital records AV has had recurrent falls most likely secondary to AV's chronic left hip pain and not having assistive devices available at the facility. The facility failed to appropriately care plan and implement reasonable interventions to address AV’s increasing and ongoing falls, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP24-00528 $1125.00 fine assessed