Print Violation: 00364978-AP-315253

Provider Information

The Springs at Willowcreek

4398 GLENCOE ST NE
Salem, OR 97301

Date: 11/3/2024
Report number: 00364978-AP-315253
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
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: 411-054-0030(1)(e)(A)
External site: 411-054-0036(2)(g)
Findings: The Alleged Victim (AV) is a known fall risk and has suffered 5 falls with injury between September 2024 and November 2024. AV's most recent fall was on November 3, 2024, staff saw AV walking independently but did not assist AV with ambulation to prevent a fall. AV suffered a bump to his/her head. After each of AV's previous falls, staff were to check on AV hourly and encourage AV to use his/her call light and wait for staff. According to documentation, it is known that AV has trouble remembering. Respondent failed to ensure progressive interventions were implemented to ensure AV's safety from falling. This constitutes abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(i).
Sanction: RCFCP26-00460 $500.00 fine assessed