Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00313497-AP-265875
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
- 2/15/2024
- Report number
- 00313497-AP-265875
- 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: 411-054-0030(1)(e)(I)
External site: 411-054-0036(2)(g)
- Findings
- Alleged Victim (AV) service plan indicates AV requires supervision outside the facility. On or about February 3, 2024 AV was documented to be exit seeking and attempting to leave through the exits. On or about February 4, 2024 AV was exit seeking and successfully eloped from the facility on evening shift. On or about February 7, 2024 AV was documented to be exit seeking. On or about February 12, 2024, AV broke a window in the activity room in an attempt to leave the facility; AV sustained a cut to h/h elbow from broken glass. The intervention implemented after the elopement attempt on February 12 2024 indicate when AV is escalating, as evidenced by continuing to exit seek, stating, “I want to get out of here.”, shouting, or a loud voice, staff are to continue with a calm demeanor and ask AV to have a discussion in a private area if safe to do so. these interventions focus on concerns of AV's aggression and do not provide increased interventions related to elopements. On or about February 15, 2024, at approximately 1223 hours, AV opened the window next to the window s/he broke on February 12, 2024 and kicked out the screen; AV climbed out the window, leaving h/h walker in the facility. At approximately 1234 hours staff observed AV outside the building and ran to AV, returning AV to the facility without injury. AV was documented to continue h/h exit seeking behaviors following the elopement attempt on February 12, 2024. The facility failed to implement appropriate elopement prevention interventions following AV's successful elopement on February 4, 2024 and elopement attempt with injury on February 12, 2024, placing AV at serious risk of harm, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP24-00849 $188.00 fine assessed