Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00310194-AP-278258
Provider Information
Wiley Creek Memory Care
4950 MOUNTAIN FIR ST
Sweet Home, OR 97386
- Provider ID
- 50R520
- Administrator
- Michelle Bristow
- Phone
- (541) 367-1800
- ed@wileycreekmc.com
Violation Details
- Date
- 1/20/2024
- Report number
- 00310194-AP-278258
- 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: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0030(1)(e)(A) and (G)
External site: 411-054-0036(2)(g)
External site: 411-054-411-054-0025(1)(a) and (b)
- Findings
- Alleged Victim (AV) has a poor gait, decreased ROM, weakness, poor balance and decreased mobility. AV has a history of falls with a broken hip. AV is blind and has [progressive eye disease]. AV is only able to see shadows. AV utilizes a wheelchair and a walker for assistance with ambulation and transfers. AV can't remember to press the button [on the call light]. Staff report AV has never been able to use the call light themself to ask for help. On or about January 13, 2024, documentation indicates AV has been having issues with pendant, AV can’t feel the button to call CP when needing assistance. AV needs help going to the bathroom but can’t get ahold of us due to not being able to see how to push pendant due to being blind. On or about January 20, 2024 at approximately 0200 AV was found sitting on the edge of h/h bed when s/he urinated on the floor and began slipping off the edge of the bed, landing on h/h bottom with h/h legs straight out. AV experienced redness and pain in h/h lower back when staff assessed AV, EMS was called to assess AV and assisted AV back into bed. Again on January 20, 2024 at approximately 0740 AV was found sitting on the floor on the right side of h/h bed, with h/h back against the bed and legs stretched out. There was urine on the floor under AV’s body, AV reported that s/he was attempting to get to the restroom at the time of the fall. The incident report indicates service plan was not being followed. AV did not have brief on . Prior shift did not put a brief on AV. The facility failed to follow the care plan, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP24-00899 $250.00 fine assessed