Print Violation: 00437320-AP-389357

Provider Information

Wiley Creek Memory Care

4950 MOUNTAIN FIR ST
Sweet Home, OR 97386

Date: 11/1/2025
Report number: 00437320-AP-389357
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to follow care plan
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(2)
External site: 411-054-0036(2)(g)
Findings: On or about November 1, 2025, the Alleged Victim (AV) fell forward while leaning in AV’s wheelchair, resulting in a bump to the center of AV’s forehead with visible skin discoloration. Based on facility documentation and staff interviews, the facility did not follow the interventions that had been implemented to prevent falls. This failure contributed to the fall on 11/01/2025 and the resulting injury. The facility’s failure to provide necessary care and services to mitigate AV's fall risk, resulted in unreasonable discomfort and physical harm to AV, which is a violation of resident rights, is considered neglect of care which constitutes abuse.
Sanction: RCFCP26-00198 $250.00 fine assessed