Print Violation: 00326586-AP-277993

Provider Information

The Atrium at Flagstone

3325 COLUMBIA VIEW DR
The Dalles, OR 97058

Date: 4/16/2024
Report number: 00326586-AP-277993
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to properly plan care
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: 411-054-0036(2)(g)
Findings: The Alleged Victim (AV) is known to propel his/her wheelchair using his/her feet, which can cause wounds to AV's feet, and he/she is to have footwear on to ensure no injury. As well, the way that AV self-propels, he/she puts self at risk of slipping out of the wheelchair. On or about April 16, 2024, AV fell from his/her wheelchair and suffered a skin tear. AV fell from the wheelchair again on April 17, 2024, from getting his/her feet caught in the wheels. Respondent failed to properly care plan for AV's safety. This constitutes abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(i).
Sanction: RCFCP26-00018 $188.00 fine assessed