Print Violation: 00376521-AP-326944

Provider Information

Deerfield Village Assisted Living

5770 SE KELLOGG CREEK DR
Milwaukie, OR 97222

Date: 1/7/2025
Report number: 00376521-AP-326944
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to follow care plan
Result: Substantiated
Rule(s) Violated: 411-054-0025(1)(a) and (b)
411-054-0027(1)(g) and (s)
411-054-0028(2)
411-054-0036(2)(g)
Findings: The Alleged Victim (AV) is a resident of the facility and requires facility supervision. AV does use oxygen and has a history of smoking. AV's care plan states staff supervision for smoking. On or about January 7, 2025, staff were in AV's room and smelled smoke. It was discovered that AV's oxygen tube was on fire, along with AV's bed and AV's pants. AV was transferred to the hospital and diagnosed with second degree burns on his/her legs. The facility's failure to follow the care plan to ensure AV's safety from smoking is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: ALFCP25-00117 $500.00 fine assessed