Print Violation: 00360395-AP-310720

Provider Information

New Friends of Coos Bay

955 KENTUCKY AVE
Coos Bay, OR 97420

Date: 10/12/2024
Report number: 00360395-AP-310720
Type: Licensing Violation
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to provide service
Result: Substantiated
Rule(s) Violated: External site: 411-054-0025(1)(a) and (b), 411-054-0027(1)(g) and (s), 411-054-0028(2), 411-054-0040(1)(d)(A) and (B), (2)(d)
Findings: The Alleged Victim (AV) relies on the facility to meet his/her daily needs. According to an investigation, on or about October 12, 2024, the Alleged Perpetrator 2 (AP2) failed to properly monitor AV's change of condition when he/she did not document administering PRN medication for pain and monitoring of AV's condition. AV was covered in feces and screaming in pain for several hours, resulting in AV experiencing repeated pain and unreasonable discomfort. AP2's actions are considered neglect and constitutes abuse. The facility failed to provide oversight and monitoring of a change in condition, which violates Oregon Administrative Rules.