Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00328021-AP-279694
Provider Information
Bridgecreek Memory Care
1401 S 12TH STREET
Lebanon, OR 97355
- Provider ID
- 50A253
- Administrator
- Jennifer Parker
- Phone
- (541) 259-1779
- jparker@sapphirehealthservices.com
Violation Details
- Date
- 4/22/2024
- Report number
- 00328021-AP-279694
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide or maintain resident care equipment
- Result
- Substantiated
- Rule(s) Violated
-
External site: 411-054-0025(1)(a), 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)(a) and (b)
External site: 411-054-0036(2)(e) and (g)
External site: 411-054-0040(b) and (c)
External site: 411-054-0200(4)(i)
- Findings
- Alleged Victim (AV) has a history of falls, approximately 10 falls between February 10, 2024, to April 22, 2024. AV Service Plan dated on or about February 06, 2024, states AV is independent with transfers from bed, chairs, couch, toilet, but may require some assistance during the time AV was healing from fractures , AV is able to ambulate safely with a four-wheeled walker and staff are to encourage AV to use the walker if AV is seen without the walker. A temporary service plan dated on or about February 13, 2024, indicates staff to make sure AV has fall alarm attached at all times. Temporary service plan date on or about April 3, 2024, indicates staff to complete checks on AV every twenty minutes while AV is seated in main TV room to ensure AV's needs are met. AV had a fall on or about April 19, 2024, resulting in a large hematoma a concussion. On April 22, 2024, AV was found in the TV room sitting on h/h bottom. AV's pressure alarm was on but did not make a sound. The facility failed to put effective interventions in place to mitigate AV's continued falls, and did not update AV's service plan to reflect AV's change in condition relating to AV's fall risk and ambulation needs, and facility failed to provide or maintain resident care equipment, which is a violation of resident’s rights, is neglect of care and constitutes abuse.
- Sanction
- RCFCP25-00859 $500.00 fine assessed