Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00367777-AP-318054
Provider Information
Wiley Creek Memory Care
4950 MOUNTAIN FIR ST
Sweet Home, OR 97386
- Provider ID
- 50R520
- Administrator
- Michelle Bristow
- Phone
- (541) 367-1800
- ed@wileycreekmc.com
Violation Details
- Date
- 11/21/2024
- Report number
- 00367777-AP-318054
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious 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)(H) and (I)
External site: 411-054-0036(2)(b), (c) and (g)
- Findings
- Alleged Victim's (AV's) service plan dated on or around September 14, 2024, indicates AV has poor gait, decreased range of motion and weakness. AV has returned to baseline, walking without any assistive devices such as AV's walker that AV's family provided. AV is able to ambulate around the community without assistance from staff or device. AV still has four wheeled walker available for walking longer distances such as walks outside of the community. Staff to place footwear on AV's feet. Staff report, AV has been known to wear mismatched footwear. On or about September 9, 2024, AV fell due to tripping, when AV’s shoe got caught up on a threshold, causing AV to trip over h/h feet. Intervention put into place, have staff sit with AV if staff notice AV is ambulating without AV’s walker and have another staff member locate AV’s walker and bring it to AV. On or about November 3, 2024, AV fell tripping over AV’s own feet. Intervention put into place, remind AV to use AV’s walker while ambulating; if staff see AV ambulating without AV’s walker, staff are to find AV’s walker and offer AV’s walker to AV. On or about November 21, 2024, AV fell in the dining room after mis-stepping with the left foot, causing AV to trip and fall. AV was wearing mismatched footwear and was not using a walker/assistive device . AV was transported to the hospital and diagnosed with a laceration to left knee and forehead, and fractured left patella. AV received five sutures in the forehead, and four sutures in the left knee. AV underwent surgery for the fracture of the left patella. Although AV was known to wear mismatched footwear there were no interventions listed to address this. AV's service plan dated September 14, 2024 was not update with interventions after AV's fall on September 9, 2024, The facility failed to follow the care plan to place footwear on AV's feet, the facility failed to update and properly plan care which is a violation of resident’s rights is neglect of care and constitutes abuse.
- Sanction
- RCFCP25-00294 $1125.00 fine assessed