Print Violation: 00357364-AP-307680

Provider Information

Bridgecreek Memory Care

1401 S 12TH STREET
Lebanon, OR 97355

Date: 9/25/2024
Report number: 00357364-AP-307680
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to follow care plan
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) is a known fall risk and was care planned to have a lap buddy on his/her wheelchair to prevent falls. AV is known to remove the lap buddy themselves, and staff are to ensure the lap buddy is in place while AV is in his/her wheelchair. AV had taken the lap buddy off earlier in the day, and staff had replaced it. On or about September 25, 2024, AV experienced a fall from his/her wheelchair. AV was not harmed, however, AV was placed at risk for serious harm. According to video footage, AV removed the lap buddy again, approximately an hour and a half prior to the fall. The facility's failure to ensure AV's care plan was followed to have the lap buddy in place is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP25-00493 $225.00 fine assessed