Print Violation: 00381814-AP-332330

Provider Information

Guardian Angel Homes Memory Care

540 NW 12TH ST
Hermiston, OR 97838

Date: 2/4/2025
Report number: 00381814-AP-332330
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to follow care plan
Result: Substantiated
Rule(s) Violated: External site: 411-054-0025(1)(a) and (b), 411-054-0027(1)(g) and (s), 411-054-0028(2) and 411-054-0036(2)(g)
Findings: The Alleged Victim (AV) relies on the facility for basic care and to provide a safe environment. AV is care planned to have pressure alarms at all times. According to an investigation, on or about February 4, 2025, AV experienced a fall, placing AV at risk of harm. It was discovered that the bed alarm was turned off and the wheelchair alarm was in the common living room, also turned off. The facility’s failure to follow the care plan is a violation of resident rights, is neglect of care and constitutes abuse. The allegation that Alleged Perpetrators 2, 4 and 5 (AP2, AP4, AP5) neglected AV was investigated and determined to be not substantiated. The allegation that Alleged Perpetrator 3 (AP3) neglected AV was investigated and determined to be inconclusive.
Sanction: RCFCP25-00781 $375.00 fine assessed