Print Violation: 00354702-AP-305028

Provider Information

Pelican Pointe

615 WASHBURN WAY
Klamath Falls, OR 97603

Date: 9/4/2024
Report number: 00354702-AP-305028
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide safe environment
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)(H)
External site: 411-054-0036(2)(g)
Findings: The Alleged Victim (AV) had wandering behaviors and episodic confusion. AV had multiple instances of wandering into other residents rooms and leaving the facility without supervision, and getting lost inside and outside the facility and not being able to find his/her way back. The only interventions in place were to have one or two hour checks on AV and to redirect when seen wandering and no other interventions to reduce AV's wandering behaviors. The facility's failure to provide a safe environment for AV is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP25-00050 $500.00 fine assessed