Print Violation: 00387921-AP-338385

Provider Information

Emerald Gardens

1890 NEWBERG HWY
Woodburn, OR 97071

Date: 3/5/2025
Report number: 00387921-AP-338385
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to properly plan care
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) was a known fall risk with a history of falls. The facility failed to care plan according to the AV's needs, change of condition, and number of falls. According to an investigation, the AV experienced multiple unwitnessed falls between January 17, 2025, and March 5, 2025, resulting in abrasions, pain, and discomfort. The failure is a violation of resident rights, is considered neglect of care, and constitutes abuse.
Sanction: RCFCP25-00673 $250.00 fine assessed