Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00357731-AP-308175
Provider Information
Bridgecreek Memory Care
1401 S 12TH STREET
Lebanon, OR 97355
- Provider ID
- 50A253
- Administrator
- Jennifer Parker
- Phone
- (541) 259-1779
- jparker@sapphirehealthservices.com
Violation Details
- Date
- 9/26/2024
- Report number
- 00357731-AP-308175
- 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)(A),(H) and (I)
External site: 411-054-0036(2)(g)
- Findings
- Alleged Victim (AV) has a history of falls. AV interventions in place, encourage AV to be in public spaces while out of bed, frequent safety checks, transfer pole next to AV’s bed, lap buddy while AV is in wheelchair, and pressure alarm in place under AV at all times while in wheelchair and in bed. On or about September 26, 2024, AV was found sitting on the floor on the fall mat next to AV's bed. Initial assessment AV denied pain. AV was transferred to wheelchair and complained of back pain and an abrasion on AV's left rear hip, with redness and swelling to lower left back side was seen. EMT's were called. Interventions in place at time of fall, focused on the use of a chair alarm and a lap tray, but the chair alarm did not sound, and the lap tray was reported to be broken. These interventions appeared to be ineffective, the facility failed to appropriately care plan and implement reasonable interventions to address AV’s falls, which is violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP25-00236 $1000.00 fine assessed