Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00353164-AP-303515
Provider Information
Wiley Creek Memory Care
4950 MOUNTAIN FIR ST
Sweet Home, OR 97386
- Provider ID
- 50R520
- Administrator
- Michelle Bristow
- Phone
- (541) 367-1800
- ed@wileycreekmc.com
Violation Details
- Date
- 9/7/2024
- Report number
- 00353164-AP-303515
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- 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: 411-054-0030(1)(e)(A),(H) and (I)
External site: 411-054-0036(2)(g)
- Findings
- Alleged Victim's (AV's) diagnosis include dementia and weakness. AV displays behaviors, has incontinence, balance issues, takes medications affecting balance. AV is easily distracted, has periods of altered perception or awareness of surroundings, has short-term memory loss, can be impulsive, has poor judgement and does not call for staff assistance or wait for staff to arrive prior to attempting to get up which leads to falls. AV has significant history of falls with and without injury. AV service plan indicates, one person stand-by assist for all transfers and ambulation with walker, staff to place non-slip socks on or socks and shoes. Staff to continue to stay with AV while ambulating/transferring AV to AV's preferred destination. Interventions in place include staff to remind AV to put on shoes or nonskid socks when walking in AV's room or around the community, staff to ensure that AV is wearing call pendant around AV's neck and if AV does not have pendant, staff to find it and place it around AV's neck. On or about September 07, 20 24 AV tried to pick up a paint brush, lost balance and fell. AV reported neck and head pain and was bleeding from a head injury. AV has an extensive history of falls with and without injury, with the falls having similar circumstances of AV attempting to pick up items, move items, or ambulate without a mobility device with AV becoming dizzy, showing symptoms of progression of dementia, and not calling for assistance when necessary, the facility failed to appropriately care plan and implement reasonable interventions to address AV’s increasing and ongoing falls, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP25-00193 $500.00 fine assessed