Print Violation: 00390130-AP-340706

Provider Information

Emerald Gardens

1890 NEWBERG HWY
Woodburn, OR 97071

Date: 3/19/2025
Report number: 00390130-AP-340706
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious 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) is a known fall risk with a history of falls. According to an investigation the AV experienced multiple falls between January 14, 2025, and March 14, 2025 resulting in pain, injuries, and repeated unreasonable discomfort. AV had another fall on or about March 14, 2025, where they had a skin tear and mark to the left shoulder. 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: RCFCP25-00670 $375.00 fine assessed