Print Violation: 00348073-AP-298416

Provider Information

Desire For Healing Inc

44882 MISSION RD
Pendleton, OR 97801

Date: 8/9/2024
Report number: 00348073-AP-298416
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: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings: The Alleged Victim (AV) requires assistance for activities of daily living, including the use of a Hoyer Lift for all transfers. According to an investigation, on or about August 9, 2024, the Alleged Perpetrator 2 (AP2) was using the Hoyer Lift to transfer the AV into bed with the assistance of Witness1 (W1), a staff in training. The Hoyer Sling was not securely attached to the lift, became disconnected and the sling fell, causing the AV’s right leg to become tangled in the sling straps. The AV complained of pain and was sent to the emergency department on August 13, 2024, and diagnosed with a fractured right femur. AP2’s actions are a violation of resident rights, are considered neglect of care, and constitutes abuse. The facility failed to provide appropriate services, which is a violation of resident’s rights, is neglect of care, and constitutes abuse.
Sanction: RCFCP25-00569 $500.00 fine assessed