Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00418617-AP-370007
Provider Information
Guardian Angel Homes Memory Care
540 NW 12TH ST
Hermiston, OR 97838
- Provider ID
- 50M428
- Administrator
- JENNIFER CICERO
- Phone
- (541) 564-9070
- jenny@gahangel.com
Violation Details
- Date
- 8/6/2025
- Report number
- 00418617-AP-370007
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate 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(1)(a) and (b)
External site: 411-054-0030(e)(H) and (I)
External site: 411-054-0036(2)(b), (c), and (g)
- Findings
- Alleged Victim (AV) and Witness 1 (W1) both have diagnoses of dementia and depend on Alleged Perpetrator 1 (AP1) for their safety and care. W1 has a documented history of resident-to-resident altercations, including a prior incident involving AV. On or about June 27, 2025, AV and W1 were involved in a physical altercation in the dining area near the bar. The incident occurred when the two residents engaged in a dispute over a dining chair. W1 grabbed AV’s arms and attempted to kick AV, but instead struck AV’s wheelchair. Subsequently, on or about August 6, 2025, AV was maneuvering through the common area in h/h wheelchair when W1 passed by. AV reached out and grabbed W1’s shirt sleeve, W1 grabbed AV’s arm and twisted it. Despite the initial altercation on June 27, AP1 failed to revise or update the service plans for either AV or W1. No additional care planning or interventions were implemented to address the risk of further resident-to-resident altercations. This lack of action resulted in a second altercation between AV and W1. AP1’s failure to appropriately assess, plan, and implement necessary interventions following the initial incident is violation of resident rights, neglect of care, and constitutes abuse.
- Sanction
- RCFCP25-01132 $375.00 fine assessed