Print Violation: 00346207-AP-321785

Provider Information

Guardian Angel Homes Memory Care

540 NW 12TH ST
Hermiston, OR 97838

Date: 8/4/2024
Report number: 00346207-AP-321785
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to properly plan care
Result: Substantiated
Rule(s) Violated: External site: 411-054-0025(1)(a)
External site: 411-054-0027(1)(g) and (s)
External site: 411-054-0030(e)(A), (H) and (I)
External site: 411-054-0036(2)(b), (c), (e), and (g)
Findings: Alleged Victim (AV) relies on the facility for his/her care. AV has a history of falls on July 3, 2024, 2 falls on July 5, 2024, a fall on July 8, 2024, a fall on July 20, 2024, 3 falls on July 27, 2024, a fall on July 29, 2024, and a fall on August 3, 2024. AVs interventions after the falls were to encourage wheelchair use, a pressure alarm for AV's bed and to keep AV in the living room for increased supervision, and a medication change. On or about August 4, 2024, AV had a fall from the recliner in the living room which resulted in discoloration to the left arm and buttock. The facility failed to appropriately care plan and implement reasonable interventions after each fall to address AV’s ongoing falls, which is violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP25-00878 $375.00 fine assessed