Print Violation: 00352149-AP-302436

Provider Information

Newberry Estates Memory Care Community

1025 NE PURCELL BLVD
Bend, OR 97701

Date: 8/10/2024
Report number: 00352149-AP-302436
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to properly plan care
Result: Substantiated
Rule(s) Violated: 411-054-0025(1)(a) and (b)
411-054-0027(1)(g) and (s)
411-054-0028(2)
411-054-0036(2)(e)(g), (4)(a)
Findings: On or about August 10, 2024, the Alleged Victim (AV) suffered a fall and was found on the floor in the activity room by staff. AV was transported to the hospital and had suffered a goose egg to his/her head and bruising on his/her face, elbow and hip area. AV suffered three more falls, with one requiring transportation to the hospital. AV's care plan was not updated to include interventions to ensure AV's safety from falls. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP25-00026 $500.00 fine assessed