Print Violation: 00319815-AP-271686

Provider Information

Guardian Angel Homes Memory Care

540 NW 12TH ST
Hermiston, OR 97838

Date: 3/18/2024
Report number: 00319815-AP-271686
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: 411-054-0025(1)(a) and (b), 411-054-0027(1)(g) and (s), 411-054-0028(2), 411-054-0036(2)(g)
Findings: The Alleged Victim (AV) relies on the facility for care, has a fall history, and is care planned to have a motion detector on in AV's room and a tab alarm on AV at all times. On or about March 19, 2024, AV fell and was found on the floor of their apartment, resulting in a red mark on the AV. According to an investigation, AV’s tab alarm was not functional due to a battery issue and the motion detector was not facing the AV. The facility failed to provide appropriate services according to Alleged Victim’s needs, regarding care planning, safety checks and monitoring, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP25-00742 $375.00 fine assessed