Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00384096-AP-334621
Provider Information
Bridgecreek Memory Care
1401 S 12TH STREET
Lebanon, OR 97355
- Provider ID
- 50A253
- Administrator
- Jennifer Parker
- Phone
- (541) 259-1779
- jparker@sapphirehealthservices.com
Violation Details
- Date
- 2/16/2025
- Report number
- 00384096-AP-334621
- 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)
External site: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)(a) and (b)
External site: 411-054-0036(1) and (2)(g)
- Findings
- Alleged Victim (AV) has a history of falls. AV's mattresses is placed on floor so it is lower to the ground with a fall mat at bedside, and AV's call light has a green animal attached so AV can more easily identify pull cord. On or around January 3 -6, 2025, AV experienced increasing behaviors and was sent to the emergency room. On January 9, 2025, AV had a fall near AV's bathroom. On January 12, 2025, AV had a fall in the TV room. AV was on 1-hour checks, until February 6, 2025, when AV was changed to 4-hour checks as AV has had decreased falls and had been calling staff to assist with using restroom. On or about February 16, 2025, AV had an injury fall and was found in h/h doorway with a head injury requiring EMS to be called and AV to be transported to the hospital. AV sustained a head laceration and received 3 staples. The facility failed to provide a safe environment, and properly care plan, implement reasonable person-centered interventions to address AV’s falls. AV was not using the pull cord for assistance and had recent falls with no additional added interventions after each fall, and an increase in behavior.
- Sanction
- RCFCP25-00703 $1350.00 fine assessed