Print Violation: 00344189-AP-294711

Provider Information

Pacific Living Centers of Bend

2853 NE CONNERS AVE
Bend, OR 97701

Date: 7/24/2024
Report number: 00344189-AP-294711
Type: Abuse: Neglect
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), 411-054-0027(1)(g) and (s), 411-054-0028(2), 411-054-0036(2)(g)
Findings: Alleged Victim (AV) relies on facility staff to meet his/her daily needs and requires assistance and supervision with meals. According to an investigation, on or about, July 24, 2024, the Alleged Perpetrator 2 (AP2) was assisting AV with eating a meal and walked away. Upon AP2's return, AV was found wheezing and was sent to the hospital for evaluation, where a piece of fruit was found lodged in AV's throat. AP2's actions are considered neglect and constitutes abuse. Based on the investigation, it was determined that AP2 did not follow the care plan for AV. The facility failed to follow the care plan, which is a violation of resident rights, is neglect of care which constitutes abuse.
Sanction: RCFCP25-00171 $375.00 fine assessed