Print Violation: 00353907-AP-307941

Provider Information

Kinsington Oak Grove

77 OAK GROVE ROAD
Medford, OR 97501

Date: 9/10/2024
Report number: 00353907-AP-307941
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)
External site: 411-054-0036(2)(g)
Findings: The Alleged Victim (AV) is a known fall risk and has a history of falls with and without injury. On or about September 29, 2024, AV had an unwitnessed fall in his/her bathroom, suffering a skin tear to his/her upper arm. AV's pressure pad alarm was not on at the time of the fall, therefore staff were not alerted that AV was out of bed. The facility's failure to ensure AV's pressure alarm was on placed AV at risk for serious harm, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP24-01242 $676.00 fine assessed