Print Violation: 00352952-AP-303271

Provider Information

Homewood Assisted Living

17999 SE River Road
Milwaukie, OR 97267

Date: 9/3/2024
Report number: 00352952-AP-303271
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) relies on the facility for care, is a known fall risk, and is care planned as a one person assist with transfers. On or about September 3, 2024, Alleged Perpetrator 2 (AP2) was assisting AV with a transfer when AV started to fall. AP2 assisted AV to the ground in a slow guided fall, resulting in left sided pain and rib fractures. According to an investigation, AV had been declining recently, was weaker, and was overall requiring more assistance. The allegation that AP2 neglected AV was investigated and was not substantiated, as AP2 was following the care plan in place. The facility failed to provide services, to include properly care planning and/or implementing interventions to mitigate AV’s declining health and to ensure resident safety, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: ALFCP25-01044 $450.00 fine assessed