Print Violation: 00386162-AP-336658

Provider Information

The Arbor at Avamere Court

450 CLAGGETT COURT N
Keizer, OR 97303

Date: 2/27/2025
Report number: 00386162-AP-336658
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to assist with toileting
Result: Substantiated
Rule(s) Violated: External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(a), (g), and (s)
External site: 411-054-0028(2)
External site: 411-054-0030(1)(e)(G)
External site: 411-054-0036(2)(g)
Findings: The facility failed to provide appropriate services according to the Alleged Victim’s (AV) care needs and wound care. On or about January 20, 2025, AV was observed with extensive encrusted feces in AV's peri area, including to AV's peri wound, that could not be washed off after multiple attempts, so AV's pubic hair was cut for a sterile catheter change. On February 27, 2025, AV was observed with dried feces on his/her bottom, thighs, and some in the catheter area. Based on facility documentation and interviews, AV is care planned for assistance with catheter/peri care once every shift and after every bowel movement. By failing to ensure that AV was properly cleansed after toileting, resulted in AV suffered a serious loss of personal dignity and unreasonable discomfort, which is a violation of resident rights, is considered neglect of care, which constitutes abuse.
Sanction: RCFCP25-00792 $500.00 fine assessed