Print Violation: 00342281-AP-293077

Provider Information

Emerald Gardens

1890 NEWBERG HWY
Woodburn, OR 97071

Date: 7/12/2024
Report number: 00342281-AP-293077
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to follow care plan
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)(g)
Findings: The Alleged Victim (AV) was a known fall risk and was care planned for safety checks. On or about July 12, 2024, AV was found on the floor in his/her bathroom by staff at 5:00 am. It is not known how long AV was on the floor, as no staff completed the safety check between midnight and 5:00 am. AV was sent out to the hospital and had sustained a broken nose and a facial laceration in the fall. The facility's failure to follow the care plan is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP24-00774 $375.00 fine assessed