Print Violation: 00312187-AP-265135

Provider Information

Cedarbrook Lodge Senior Living

775 NE 27TH ST
Mcminnville, OR 97128

Date: 2/9/2024
Report number: 00312187-AP-265135
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate 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)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings: According to the documentation, the facility failed to properly care plan appropriate interventions for the Alleged Victim’s repeated falls. From approximately January 14, 2023, through August 29, 2023, the AV suffered approximately 5 falls, some resulting in injury. On or about August 29, 2023, the AV fell for approximately the 5th time while self-transferring resulting in a lump on their head and pain on their face. There was no documented evidence the facility implemented interventions to assist the AV with ambulation or transferring. The lack of appropriate interventions to help mitigate falls is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP25-00413 $500.00 fine assessed