Print Violation: 00357643-AP-307943

Provider Information

Mcloughlin Memory Care of Oregon

1145 MOLALLA AVENUE
Oregon City, OR 97045

Date: 9/29/2024
Report number: 00357643-AP-307943
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: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings: Alleged Victim’s (AV’s) temporary care plan dated September 15, 2024, instructs staff to put a sheet over metal bedframe to protect AV’s skin. On or about September 29, 2024, AV was found on the floor at around 3:45 AM sitting upright. As a result of the fall, AV sustained an injury to their elbow. During the investigation it was found that AV’s metal bedframe remains exposed. The facility failed to follow the care plan around covering the metal bedframe, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP25-00301 $500.00 fine assessed