Print Violation: 00359911-AP-310248

Provider Information

The Springs at Willowcreek

4398 GLENCOE ST NE
Salem, OR 97301

Date: 10/9/2024
Report number: 00359911-AP-310248
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to properly plan care
Result: Substantiated
Rule(s) Violated: 411-04-0036(2)(g)
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(a)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0030(1)(e)(i)
Findings: The Alleged Victim (AV) is a known fall risk and has a history of agitation and refusing medications. On or about October 9, 2024, Alleged Perpetrator #2 (AP2) was assisting AV in his/her room with eating when AV became agitated and sat up on the edge of his/her bed. AV was yelling at AP2 and sitting on the side of his/her bed. AP2 left AV's side and went to the door to yell for help and AV stood up and fell, hitting his/her head. AV was sent out to the hospital where he/she was diagnosed with a facial fracture, skin tear and bruising. AP2's actions are a violation of resident rights, are considered neglect of care and constitute abuse, as outlined in OAR 411-020-0002(1)(b)(A)(i). Respondent failed to ensure appropriate interventions for fall prevention, medication refusal and agitation, resulting in a fall with multiple injuries. This constitutes abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(i).
Sanction: RCFCP26-00533 $1350.00 fine assessed