Print Violation: 00383862-AP-334378

Provider Information

Prestige Senior Living High Desert

2660 NE MARY ROSE PLACE
Bend, OR 97701

Date: 2/12/2025
Report number: 00383862-AP-334378
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to provide safe environment
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: 411-054-0036 (2)(g)
Findings: The Alleged Victim (AV) is a known fall risk with a history of falls. According to an investigation, the AV experienced multiple falls between January 24, 2025, and February 6, 2025, causing repeated unreasonable discomfort. The AV had two additional falls on or about February 12, 2025, resulting in an injury to the bridge of the nose, forehead hematoma, and laceration to upper lip. The facility failed to provide appropriate services according to AV’s needs, relating to care planning and lack of appropriate interventions, to mitigate the risk of injury due to AV's falls, which is a violation of resident rights, is neglect of care, and constitutes abuse.
Sanction: ALFCP25-00296 $500.00 fine assessed