Print Violation: 00359627-AP-309974

Provider Information

Brookdale River Road

592 BEVER DR NE
Keizer, OR 97303

Date: 10/9/2024
Report number: 00359627-AP-309974
Type: Abuse: Neglect
Level: 4 - Serious harm, death, imminent danger or chronic regulatory noncompliance
Allegation: Failed to properly plan care
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: 411-054-0036(2)(g)
Findings: According to the documentation, the facility failed to properly care plan for appropriate visual checks for the Alleged Victim (AV) who has a history of not using their call light. Previous documentation states the facility increased safety checks but did not provide information as to how often or what time intervals were needed to ensure safety. On or about October 09, 2024, the AV was found on the floor in their apartment at approximately 4:15 am. When found, the AV was in pain and emergency services were called and taken to the hospital. The AV was admitted to the hospital on or about October 09, 2024, due to a fracture to their right leg which required surgery to fix, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: ALFCP24-00870 $1500.00 fine assessed