Print Violation: 00339325-AP-290203

Provider Information

Pacific Living Centers of Klamath Falls

44 NORTH HOMEDALE RD
Klamath Falls, OR 97603

Date: 6/26/2024
Report number: 00339325-AP-290203
Type: Licensing Violation
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to follow care plan
Result: Substantiated
Rule(s) Violated: External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(s)
External site: 411-054-0036(2)(g)
Findings: According to documentation, Alleged Perpetrator 2 (AP2) failed to follow the Alleged Victim’s (AV) care plan to use a gait belt during transfers to prevent falls. The failure resulted in AV being left alone and experiencing an injury fall, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to ensure AV's care plan was followed, which is a violation of Oregon Administrative Rules.