Print Violation: 00318424-AP-270370

Provider Information

Cascades of Bend Retirement Community

1801 NE LOTUS DR
Bend, OR 97701

Date: 3/11/2024
Report number: 00318424-AP-270370
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to provide safe environment
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) and 411-054-0030(1)(e)(A)
Findings: The Alleged Victim (AV) uses a wheelchair and needs assistance with transferring. On or about March 11, 2024, AV was returning from an outing on the facility bus. AV was assisted off the bus to his/her wheelchair, however, AV's electric wheelchair was on, and while maneuvering to sit down, when AV touched the toggle on the wheelchair, it activated the wheelchair to move, and AV fell. AV suffered a broken femur requiring surgery and eight stitches in the back of his/her head. The facility's failure to ensure a safe environment is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP24-01043 $375.00 fine assessed