Print Violation: 00354063-AP-304387

Provider Information

Bonaventure of Keizer Memory Care

5525 MCLEOD LANE NE
Keizer, OR 97303

Date: 9/10/2024
Report number: 00354063-AP-304387
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to properly plan care
Result: Substantiated
Rule(s) Violated: External site: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings: Alleged Victim’s (AV’s) service plan dated August 11, 2024, sates he/she has a pattern of falls, but it also states, AV is NOT a fall risk at this time. On or about September 10, 2024, AV was found on the floor by staff after an unwitnessed fall. As a result of the fall, AV was sent to the ER and was found to have sustained a fractured shoulder. The facility failed to service plan and mitigate AV’s risk of falls, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP25-00379 $1125.00 fine assessed