Print Violation: 00355342-AP-305715

Provider Information

Merrill Gardens at Sherwood Memory Care

16872 SW EDY ROAD
Sherwood, OR 97140

Date: 9/12/2024
Report number: 00355342-AP-305715
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), 411-054-0027(1)(g) and (s), 411-054-0028(2), 411-054-0036(2)(c), 411-054-0040(1)(d)(A) and (B)
Findings: The Alleged Victim (AV) is dependent on the facility to meet his/her safety needs and has a history of falls. According to an investigation, on or about September 12, 2024, AV fell while running and on September 13, 2024, AV fell in the courtyard after losing his/her balance. AV's service planned interventions were for staff to ensure AV was using an assistive device at all times and ambulate at a safe pace. Prior to both falls, AV was walking without the use of an assistive device. The facility did not develop or implement any known changes to AV's care plan following the falls. The facility failed to develop fall interventions to address AV's fall risk, resulting in injury and bruising. The facility failed to plan care for AV, which is a violation of resident rights, is considered neglect of care which constitutes abuse.
Sanction: RCFCP25-00319 $375.00 fine assessed