Print Violation: 00365274-AP-315563

Provider Information

Sweetbriar Villa

6135 E ST
Springfield, OR 97478

Date: 11/7/2024
Report number: 00365274-AP-315563
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(b)
External site: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0070(2)(b)
Findings: The Alleged Victim (AV) relies on the facility for their care. According to an investigation, on or about November 7, 2024, Alleged Perpetrator 2 (AP2) was attempting to engage the brake of AV's wheelchair from the opposite side by reaching across AV's chair. After engaging the brake, AP2 stood up, and AP2's elbow made contact with AV's nose, causing AV's nose to begin bleeding and eyes to water. AP2’s actions are a violation of resident rights, are considered neglect of care and constitute abuse. Prior to this incident, AP2 was scheduled for additional training and/or oversight, however, there is no documentation this was done. The facility failed to provide a safe environment which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP26-00416 $250.00 fine assessed