Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00345108-AP-295578
Provider Information
Bridgecreek Memory Care
1401 S 12TH STREET
Lebanon, OR 97355
- Provider ID
- 50A253
- Administrator
- Jennifer Parker
- Phone
- (541) 259-1779
- jparker@sapphirehealthservices.com
Violation Details
- Date
- 7/29/2024
- Report number
- 00345108-AP-295578
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide safe environment
- 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: 411-054-0030(1)(e)(H) and (I)
External site: 411-054-0036(2)(g)
- Findings
- Witness 1 (W1) service plan dated on or about May 2, 2024, contains the following information, W1 has a mood problem and has the potential to be physically aggressive. W1 has a history of resident-to-resident altercations. Alleged Victim (AV) does not have a history of resident-to-resident altercations. W1 is known to pinch and grab others. Interventions in place to address W1’s known behaviors include observe and report to the nurse any of the following; risks of harming others such as increased anger, labile mood, or agitation. If W1 shows signs of agitation, intervene before it escalates, remain calm, take a deep centering breath, stand out of reach, listen, and respond with empathy, guide away from source of distress, calmy engage in conversation. If AV's response is aggressive, calmly walk away, ask others to leave the area, ensure everyone is safe, immediately report to nurse, discuss other approaches and re-approach later. Anticipate and remove triggers that cause W1 to show signs of agitation, anger or aggression. Known triggers for W1 are overcrowded areas and excessive noise. On or about July 29, 2024, staff had noticed W1 becoming anxious, and offered W1 a PRN but W1 refused. At approximately 7:35am AV was seated at a table in the dining room when W1 approached AV and pinched AV hard on the arm. W1 was not sufficiently supervised to prevent the altercation, despite W1’s anxious behavior prior to the incident and known behaviors of pinching other residents. The facility neglected AV by failing to provide adequate supervision to address W1’s known behaviors, resulting in unreasonable discomfort when W1 pinched AV on the arm, resulting in redness to AV’s arm and causing AV to cry. The facility failed to provide a safe environment for AV, and appropriately care plan and implement reasonable interventions to address W1’s behaviors, which is violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP25-00124 $375.00 fine assessed