Print Violation: 00328650-AP-280006

Provider Information

Heartwood Place

2325 BOONES FERRY ROAD
Woodburn, OR 97071

Date: 4/20/2024
Report number: 00328650-AP-280006
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: 411-054-0025(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: According to the documentation, the facility failed to implement appropriate interventions for the Alleged Victim’s (AV) known fall history. The AV has a history of being non-compliant with current interventions by removing no skid socks and call pendant from their clothes. The facility failed to implement appropriate interventions to prevent future falls. On or about April 20, 2024, the AV was found in the hallway near their apartment. AV was able to bear weight and ambulate to their room. Later that day, the AV was complaining of hip pain and was sent to the hospital for assessment. The AV was diagnosed with a fractured femoral neck of AV’s left hip, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP24-00727 $1125.00 fine assessed