Print Violation: 00314485-AP-266797

Provider Information

Tanner Spring Memory Care

23000 HORIZON DRIVE
West Linn, OR 97068

Date: 2/15/2024
Report number: 00314485-AP-266797
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: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings: On or about February 15, 2024, the Alleged Victim (AV) suffered from at least 3 unwitnessed falls in the same day. Based on facility documentation and interviews, AV experienced multiple falls from January 25, 2024, through February 8, 2024, in which it was determined in the investigation that the facility failed to implement interventions and provide appropriate supervision related to AV's falls. The facility's failure resulted in AV experiencing several unwitnessed falls, causing unreasonable discomfort and knee pain, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP25-00722 $375.00 fine assessed