Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00321397-AP-273453
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
- 3/18/2024
- Report number
- 00321397-AP-273453
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate 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)
External site: 411-054-0030(1)(e)(A)
External site: 411-054-0036(2)(g)
External site: 411-054-0070(1)
- Findings
- Alleged Victim (AV) Service Plan- Dated on or about March 20, 2024, Mobility/Transferring AV is independent with all transfers and ambulation, uses a four-wheeled walker for ambulation and is independent with use of four wheeled walker. If staff see AV without walker, staff are to remind h/h to use the walker. Fall Prevention: AV has a history of falls with balance problems and physical weakness. AV uses a four-wheeled walker for ambulation. AV has had three or more falls in the past 90 days. Staff are to ensure AVs room is clear of clutter and spills and remind AV to use four-wheeled walker when ambulating outside of the apartment. Staff are to provide safety checks for AV during the night at least two times per shift and if AV is awake during the night staff are to ask h/h if they need to use the bathroom and assist AV with ambulation to the bathroom. If staff observe AV picking up walker and walking with it off the ground, kindly remind AV to put it back on the ground fully. AV had documented falls occurring on approximately March 06, 2024, March 08, 2024, and March 18, 2024. AV's fall on or about March 18, 20244 occurred because of AV picking up h/h walker off the ground to walk with it and lost balance hitting/h head, requiring transportation to the hospital for further evaluation . Although the Facility could not have foreseen or predicted AV falling in the hallway of the facility as AV was independent in ambulation with four-wheeled walker and transfers at the time of the fall, AV has an extensive history of falls with falls on March 06, 2024, March 08, 2024, and March 18, 2024. AV's recent update to the service plan, has no change in condition, transfers, or ambulation. No additional interventions were implemented after March 06, 2024. The facility failed to provide person centered interventions and a safe environment, which resulted in AV falling, hitting head, and being sent to ER.
- Sanction
- RCFCP24-00906 $500.00 fine assessed