Print Violation: 00350897-AP-301205

Provider Information

Bridgecreek Memory Care

1401 S 12TH STREET
Lebanon, OR 97355

Date: 7/25/2023
Report number: 00350897-AP-301205
Type: Abuse: Neglect
Level: 4 - Serious harm, death, imminent danger or chronic regulatory noncompliance
Allegation: Failed to properly plan care
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) has a history of falls while residing at the facility. AV suffered 9 falls between November 22, 2022 and April 17, 2023, with and without injury. Interventions that were put into place did not appear to be effective, as AV continued to suffer falls. On or about July 25, 2023, AV was found on the floor of his/her room, with blood coming from a laceration to his/her head and nose. AV was sent to the hospital and diagnosed with a brain bleed. AV returned to the facility on hospice services and on August 18, 2023, AV passed away. The facility's failure to properly care plan to ensure AV was safe from falls is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP25-00448 $1500.00 fine assessed