Print Violation: 00349386-AP-299755

Provider Information

Cascades of Bend Retirement Community

1801 NE LOTUS DR
Bend, OR 97701

Date: 8/17/2024
Report number: 00349386-AP-299755
Type: Abuse: Neglect
Level: 4 - Serious harm, death, imminent danger or chronic regulatory noncompliance
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: 411-054-0036(2)(g)
Findings: On or about August 17, 2024, the Alleged Victim (AV) was in the dining area, sitting with Witness #1 (W1) while staff were getting others ready for dinner. W1 is known to have behaviors and impulsive actions, such as physical interactions with others. Staff heard a loud noise and went to investigate and found AV on the floor and W1 walking away. Internal investigation determined that W1 pushed AV to the ground. AV was transported to the hospital where he/she was diagnosed with a fractured hip, requiring surgerical intervention for a hip replacement. The facility's failure to properly care plan to ensure resident safety is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP25-00159 $1350.00 fine assessed