Print Violation: 00331140-AP-282420

Provider Information

Newberry Estates Memory Care Community

1025 NE PURCELL BLVD
Bend, OR 97701

Date: 5/9/2024
Report number: 00331140-AP-282420
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to properly plan care
Result: Substantiated
Rule(s) Violated: 411-054-0025(1)(a) and (b)
411-054-0027(1)(g) and (s)
411-054-0028(2)
411-054-0036(2)(a) and (g)
Findings: The Alleged Victim (AV) is a known fall risk. On or about May 9, 2024, AV was found on the floor crawling out of AV's apartment. AV had injuries to his/her cheek along with neck and chest pain. AV was sent out to the hospital for evaluation. The facility failed to ensure interventions were in place to reduce AV's risk of falls. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP24-00790 $250.00 fine assessed