Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00364254-AP-314499
Provider Information
Coral Springs Residential Care
2520 CORAL AVENUE NE
Salem, OR 97305
- Provider ID
- 50R404
- Administrator
- Josephine Hernandez
- Phone
- (503) 362-5885
- josephine@sweetbyenbye.com
Violation Details
- Date
- 11/3/2024
- Report number
- 00364254-AP-314499
- 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)(H) and (I)
External site: 411-054-0036(2)(g)
- Findings
- Alleged Victim (AV) was homeless and living on the streets prior to moving into the facility on October 24, 2024, directly from a hospital discharge. AV has history of dementia. AV service plan dated on or about October 24, 2024, indicates, staff to take AV on frequent walks throughout the day; staff to report any signs of anxiousness to Med Tech so PRN can be administered; staff to remind AV that s/he is wearing a nicotine patch and that smoking will cause AV to be sick; staff are to monitor wandering; AV becomes anxious and is a high risk for wandering; staff monitor with motion sensor and do safety checks 6-times per shift; AV relies on staff to ensure h/h safety outside of the facility. On or about October 27, 2024, AV progress notes indicate AV gets confused and wants to leave facility to get checks that s/he needs to collect. On or about November 3, 2024, AV was discovered missing when family showed up to facility to visit AV. Emergency Services were called, and staff started looking for AV. AV was located by Law Enforcement at a Fred Meyer gas station. Elopement map indicates three different routes AV could take from facility to location Law Enforcement found AV. Each route is approximately 1 mile from facility and all three routes cross high traffic roads. The facility failed to provide a safe environment and properly plan care, and implement person centered interventions around AV's known dementia, confusion, wandering, and history of wanting to leave facility, which is a violation of resident’s rights is neglect of care and constitutes abuse.
- Sanction
- RCFCP25-00340 $250.00 fine assessed