Print Violation: 00345663-AP-296133

Provider Information

Heron Pointe Senior Living

504 Gwinn Street East
Monmouth, OR 97361

Date: 7/26/2024
Report number: 00345663-AP-296133
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to provide service
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: 411-054-0036(2)(g)
Findings: The Alleged Victim (AV) is a known fall risk with a history of falls. The facility failed to provide appropriate services according to Alleged Victim’s needs, relating to care planning and lack of appropriate interventions, to mitigate the risk of injury due to AV's increase in falls. According to an investigation AV experienced multiple falls between July 4, 2024, and July 23, 2024, which resulted in various abrasions and caused repeated unreasonable discomfort. This failure is a violation of resident rights, is neglect of care which constitutes abuse.