Print Violation: 00323290-AP-274940

Provider Information

Gateway Living

611 N CLOVERLEAF LOOP
Springfield, OR 97477

Date: 4/3/2024
Report number: 00323290-AP-274940
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: Alleged Victim (AV) has a history of falls in the community. Between April 7th and April 10, 2024, AV fell four (4) times. The last fall resulted in significant injury, and AV was transported to the hospital, later diagnosed with a cervical fracture. The facility staff discussed the possibility of AV using a walker, but this was never actually attempted. The facility did not communicate with AV’s provider regarding any other ambulation assistive devices nor AV’s frequency of falls and subsequent hospitalizations. The facility failed to properly plan care around AV’s known history of falls, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP24-01227 $375.00 fine assessed