This is an analysis of complaints data, munged in ../notebooks/mung.ipynb. Raw data is in ../data/raw

The fields are:

  1. abuse_number: A unique number assigned each complaint.
  2. facility_id: A unique number to each facility building. Stays if ownership changes.
  3. facility_name: Name of facility as of January 2017, when DHS provided the facility data to The Oregonian.
  4. abuse_type: A – facility abuse; L – licensing. Note: This does not apply to nursing facilities. All their complaints are either blank in this field or licensing.
  5. action_notes: DHS determination of what general acts constituted the abuse or rule violation.
  6. incident_date: Date the incident occured
  7. outcome: A very brief description of the consequences of the abuse or rule violation to the reisdent
  8. outcome_notes: A detailed description of what happened.
  9. year: year incident occured
  10. fac_name: If complaint is online, name listed for the facility
  11. public: Whether or not complaint is online

In [72]:
import pandas as pd
import numpy as np
from IPython.core.display import display, HTML
display(HTML("<style>.container { width:100% !important; }</style>"))
pd.set_option('display.max_colwidth', -1)



In [73]:
df = pd.read_csv('../../data/processed/complaints-before-state-updates.csv')

How many complaints do not appear in the state's public database?


In [89]:
df.count()[0]


Out[89]:
13032

In [90]:
df[df['public']=='offline'].count()[0]


Out[90]:
7846

How many complaints do appear in the state's public database?


In [75]:
df[df['public']=='online'].count()[0]


Out[75]:
5186

What percent of complaints are missing?


In [76]:
df[df['public']=='offline'].count()[0]/df.count()[0]*100


Out[76]:
60.205647636586868

How many complaints were labelled 'Exposed to potential harm' or 'No negative outcome?'


In [77]:
df[(df['outcome']=='Exposed to Potential Harm') | (df['outcome']=='No Negative Outcome')].count()[0]


Out[77]:
2509

Of all missing complaints, what percent are in the above two categories?


In [78]:
df[(df['outcome']=='Exposed to Potential Harm') |
   (df['outcome']=='No Negative Outcome')].count()[0]/df[df['public']=='offline'].count()[0]*100


Out[78]:
31.978078001529443

How many complaints are labelled 'A,' which stands for abuse, but are offline?


In [79]:
df[(df['abuse_type']=='A') & (df['public']=='offline')].count()[0]


Out[79]:
65

What's the online/offline breakdown by outcome?


In [81]:
totals = df.groupby(['omg_outcome','public']).count()['abuse_number'].unstack().reset_index()

In [82]:
totals.fillna(0, inplace = True)

In [83]:
totals['total'] = totals['online']+totals['offline']

In [84]:
totals['pct_offline'] = round(totals['offline']/totals['total']*100)

In [91]:
totals.sort_values('total',ascending=False)


Out[91]:
public omg_outcome offline online total pct_offline
14 Potential harm 2361.0 148.0 2509.0 94.0
4 Fracture or other injury 680.0 1185.0 1865.0 36.0
10 Loss of property, theft or financial exploitation 809.0 737.0 1546.0 52.0
11 Medical condition developed or worsened 370.0 1046.0 1416.0 26.0
12 Medication error 983.0 217.0 1200.0 82.0
2 Failure to address resident aggression 395.0 622.0 1017.0 39.0
9 Loss of Dignity 884.0 97.0 981.0 90.0
5 Inadequate care 496.0 170.0 666.0 74.0
17 Unreasonable discomfort or continued pain 115.0 452.0 567.0 20.0
6 Inadequate hygiene 138.0 104.0 242.0 57.0
8 Left facility without attendant, no injury 207.0 18.0 225.0 92.0
13 Physical abuse 89.0 92.0 181.0 49.0
18 Verbal or emotional abuse 70.0 94.0 164.0 43.0
3 Fall, no injury 150.0 13.0 163.0 92.0
19 Weight loss 20.0 106.0 126.0 16.0
15 Sexual abuse 15.0 49.0 64.0 23.0
1 Denied readmission or moved improperly 35.0 2.0 37.0 95.0
0 Death 7.0 23.0 30.0 23.0
7 Involuntary seclusion 8.0 11.0 19.0 42.0
16 Staffing issues 12.0 0.0 12.0 100.0

In [86]:
df[df['abuse_number'].str.contains('ES147799')]


Out[86]:
abuse_number facility_id facility_type facility_name abuse_type action_notes incident_date outcome outcome_notes year online_fac_name public omg_outcome
7236 ES147799 50R365 RCF Churchill Estates Residential Care A The facility failed to obtain timely medical assistance. 2014-07-14 Transfer To Hospital For Treatment Staff observed Resident #1 with symptoms associated with a cerebral vascular accident prior to 8:00 AM on July 14, 2014. Resident #1 was assessed by RP2 at approximately 9:00 AM and transferred to the hospital after paramedics were called at about 12:31 PM. The facility failed to have an appropriate system in place to ensure timely medical treatment. The failures are violations of resident rights, are considered neglect of care and constitute abuse. RP2 was also found responsible for neglect and constitutes abuse. 2014.0 NaN offline Medical condition developed or worsened

In [87]:
df_old[df_old['public']=='offline'].groupby('abuse_type').count()


Out[87]:
abuse_number facility_id facility_type facility_name action_notes incident_date outcome outcome_notes year online_fac_name public omg_outcome
abuse_type
A 65 65 65 65 46 65 65 47 65 0 65 65
L 6987 6987 6987 6987 2844 6987 6986 2848 6987 0 6987 6986

In [88]:
df[(df['public']=='offline') & (df['abuse_type']=='A')]


Out[88]:
abuse_number facility_id facility_type facility_name abuse_type action_notes incident_date outcome outcome_notes year online_fac_name public omg_outcome
5265 NB129347B 50M124 RCF Harmony Estates Residential Care Center A NaN 2012-02-27 The resident did not receive an ordered medication NaN 2012.0 NaN offline Medication error
5408 GP133848 50M154 RCF Forest Meadows RCF A NaN 2013-07-19 Failed to Receive Needed Services NaN 2013.0 NaN offline Inadequate care
5421 CO13077 50M157 RCF Terwilliger Plaza - Metcalf Unit A NaN 2013-04-18 Undesirable Weight Loss NaN 2013.0 NaN offline Weight loss
5669 SL057246A 50M268 RCF Four Seasons RCF - Fairgrounds A NaN 2005-01-24 No Negative Outcome NaN 2005.0 NaN offline Potential harm
5684 CO15243 50M300 RCF Quail Park Memory Care Residences of Klamath Falls A NaN 2015-11-19 Undesirable Weight Loss Findings of the Residential Care Facility Initial Licensure Survey (#Z3ZD11) completed on November 19, 2015 determined that the Facility is not in substantial compliance with the Oregon Administrative Rules for Residential Care Facilities and that the Facilitys noncompliance placed residents at risk for harm. See Survey for specific details. RCFCD15-014 2015.0 NaN offline Weight loss
5685 KF152342 50M300 RCF Quail Park Memory Care Residences of Klamath Falls A Facility failed to provide appropriate care, resulting in RV experiencing physical discomfort. 2015-07-31 Unreasonable Discomfort Complainant reported RP2 pulled Resident #1 by the arm, causing pain while escorting back to her/his room. Resident #1's care plan identifed her/him as a wanderer. Progress notes and witness testimony revealed Resident #1 had a recent change of condition and was highly sensitive. Resident #1's care failed to identify her/his change of condition and provide staff direction around her/his sensitivity. The failure is a violation of resident rights, is considered neglect of care and constitutes abuse. 2015.0 NaN offline Unreasonable discomfort or continued pain
5692 KF152985 50M300 RCF Quail Park Memory Care Residences of Klamath Falls A Facility failed to assess and intervene resulting in serious injury. 2015-09-29 Fall Resulting In Fractured Bone(s) Resident #1 experienced six (6) falls within a three month period. The facility failed to adequately assess and update the care plan to address Resident #1's falls resulting harm. The failures are violations of resident rights, are considered neglect of care and constitute abuse. 2015.0 NaN offline Fracture or other injury
6441 CK050146A 50R282 RCF Elite Care Oatfield Estates-Adam's House A NaN 2005-03-09 Fall Resulting In Fractured Hip NaN 2005.0 NaN offline Fracture or other injury
6588 AS146116 50R296 RCF Avamere at Seaside Residential Care Facility A NaN 2014-02-18 Fall with Injury NaN 2014.0 NaN offline Fracture or other injury
7109 RD116327A 50R349 RCF Touchmark at Mt. Bachelor Village A NaN 2011-01-10 Loss of Medication NaN 2011.0 NaN offline Loss of property, theft or financial exploitation
7234 ES152683 50R365 RCF Churchill Estates Residential Care A Facility failed to provide basic care to RV. 2015-09-02 Unreasonable Discomfort The facility failed to adequately care plan and monitor Resident #1 related to significant weight loss and rash. The failures are violations of resident rights, are considered neglect of care and constitute abuse. 2015.0 NaN offline Unreasonable discomfort or continued pain
7236 ES147799 50R365 RCF Churchill Estates Residential Care A The facility failed to obtain timely medical assistance. 2014-07-14 Transfer To Hospital For Treatment Staff observed Resident #1 with symptoms associated with a cerebral vascular accident prior to 8:00 AM on July 14, 2014. Resident #1 was assessed by RP2 at approximately 9:00 AM and transferred to the hospital after paramedics were called at about 12:31 PM. The facility failed to have an appropriate system in place to ensure timely medical treatment. The failures are violations of resident rights, are considered neglect of care and constitute abuse. RP2 was also found responsible for neglect and constitutes abuse. 2014.0 NaN offline Medical condition developed or worsened
7237 ES147476 50R365 RCF Churchill Estates Residential Care A The facility failed to care plan properly for safety. 2014-06-19 Negative Behavior Escalated, Affected Other Resident(s) Resident #1 and Resident #2 engaged in a physical altercation. Witness testimony revealed Resident #2 had a history of agitation and lashing out at others. Facility documentation failed to address Resident #2's behavior. The facility failed to appropriately care plan to address resident's behavior resulting in negative behavior affecting others. The failure is a violation of resident rights, is considered neglect of care and constitutes abuse. 2014.0 NaN offline Failure to address resident aggression
7238 ES117724C 50R365 RCF Churchill Estates Residential Care A The facility failed to maintain an adequate medication system for RV3. 2011-08-02 Unreasonable Discomfort Resident #3 requested pain medication and Witness #1 notified RP2 between 11-11:30 PM. Because of Resident #3's medication regimen, RP2 requested and received approval from Witness #3 at 11:45 PM. Due to workload, RP2 was unable to administer Resident #3 her/his medication until 12:12 AM. The facility failed to administer Resident #3 medication in a timely manner resulting in unreasonable comfort. The failure is a violation of resident rights, is considered neglect of care and constitutes abuse. RP2 was not found responsible for abuse. 2011.0 NaN offline Unreasonable discomfort or continued pain
7240 ES105476 50R365 RCF Churchill Estates Residential Care A The facility failed to follow the care plan. 2010-10-09 Negative Behavior Escalated, Affected Other Resident(s) The facility failed to follow Resident #1's service plan resulting in harm to other residents. The failure is a violation of resident rights, is considered neglect of care and constitutes abuse. 2010.0 NaN offline Failure to address resident aggression
7502 BH146760 50R383 RCF Royalton Place Memory Care A The facility failed to provide a safe environment. 2014-04-09 Skin Injury The facility failed to adequately monitor and assess Resident #1 when his/her condition changed. Resident #1 suffered several injuries of unknown origin as a result. These failures are considered neglect of care, constitute abuse, and are violations of Oregon Administrative Rules. 2014.0 NaN offline Fracture or other injury
7503 BH134729 50R383 RCF Royalton Place Memory Care A Facility failed to supervise resident resulting in fall with injury. 2013-10-12 Fall with Injury The facility failed to provide a safe environment and failed to have functioning door alarms to alert staff. Resident #1 was found in the courtyard and had fallen and suffered a head wound and was transported to the emergency room. The failures are a violation of resident rights, are considered neglect of care and constitute abuse. 2013.0 NaN offline Fracture or other injury
7504 BH134728 50R383 RCF Royalton Place Memory Care A Facility failed to provide a safe environment resulting in skin tear of unknown origin. 2013-10-10 Skin Injury Resident #1 was noted to have an injury on his/her shoulder on 10/10/13 and did not appear new; however there was no documentation of an injury prior to this date. The facility failed to monitor Resident #1's change of condition and implement interventions needed. The facility's failures are a violation of resident rights, are considered neglect of care and constitute abuse. 2013.0 NaN offline Fracture or other injury
7505 BH134518 50R383 RCF Royalton Place Memory Care A Facility failed to provide safe environment resulting in resident having bruising of unknown origin. 2013-09-21 Fall with Injury The facility failed to appropriately care plan for Resident #1's known falls and failed to implement new interventions after falls. Resident #1 suffered bruising and a rib fracture. The failure is a violation of resident rights, is considered neglect of care and constitutes abuse. 2013.0 NaN offline Fracture or other injury
7514 MV150319 50R385 RCF Bonaventure of Salem Memory Care A The facility failed to provide a safe environment resulting in a resident to resident altercation. 2015-02-17 Negative Behavior Escalated, Affected Other Resident(s) Resident #1 had been on alert for increased agitation and anger from 1/28/15-2/19/15. There were two separate altercations on 2/13/15 and 2/17/15 where Resident #1 was the aggressor. Resident #2 was grabbed by the jaw and right arm. The facility failed to appropriately care plan to implement effective interventions regarding Resident #1's increased agitation and anger. The failure created an unsafe environment and is considered neglect of care and constitutes abuse. 2015.0 NaN offline Failure to address resident aggression
7520 MV133445 50R385 RCF Bonaventure of Salem Memory Care A The facility failed to protect RV's from inappropriate sexual contact. 2013-06-09 Sexually Abused Resident #2 had three incidents of being found in bed with an opposite sex resident. The facility failed to provide a safe environment and failed to adequately care plan for Resident #2s behaviors. The failures are a violation of resident rights, are considered neglect of care resulting in sexual abuse and constitute abuse. 2013.0 NaN offline Sexual abuse
7521 CO13040 50R385 RCF Bonaventure of Salem Memory Care A Harm tags at survey; multiple issues. 2013-04-04 Medical Condition Developed or Worsened The facility failed to provide effective administrative oversight regarding residents' quality of care and services as evidenced by the initial licensure survey findings completed on April 4, 2013. 2013.0 NaN offline Medical condition developed or worsened
7529 RD135280 50R390 RCF Mt. Bachelor Memory Care A Facility failed to provide a safe environment for RV1 and RV2. 2013-12-03 Skin Injury Resident #2 reported that Resident #1 had punched him/her. Resident #1 sustained a skin tear to his/her left hand and Resident #2 sustained a skin tear near his/her mouth. Resident #1 had a history of agitation and striking other residents and staff. Resident #1 was not being monitored by staff. The facility failed to implement interventions to address Resident #1s behaviors. The failure is a violation of resident rights, is considered neglect of care and constitutes abuse. 2013.0 NaN offline Fracture or other injury
7531 RD134738 50R390 RCF Mt. Bachelor Memory Care A Facility failed to provide a safe environment for RV1 and RV2. 2013-07-26 Negative Behavior Escalated, Affected Other Resident(s) Resident #1 and Resident #2 were involved in an altercation resulting in Resident #1 falling. Resident #1 sustained a head wound and was transported to the hospital. The facility failed to implement interventions to address Resident #2's aggressive behaviors that had been demonstrated prior to this incident. The failure is a violation of resident rights, is considered neglect of care and constitutes abuse. 2013.0 NaN offline Failure to address resident aggression
7533 HB134553 50R393 RCF Jennings McCall RCF A Failure to provide a safe environment leading to elopement with injury. 2013-09-27 Left Facility Without Assistance With Injury In September 2013 Resident #1 was able to leave the facility through an alarmed exit door. Resident #1 sustained a fall while outside the facility causing some abrasions to his/her face. The alarm system on the door was found to no longer work which allowed Resident #1 to leave the facility without tripping the alarm. The facility failed to maintain a functional alarmed exit door. This failure is considered neglect of care, which constitutes abuse, and is in violation of Oregon Administrative Rules. 2013.0 NaN offline Fracture or other injury
7534 MV149530 50R395 RCF Four Seasons RCF Evergreen A The facility failed to provide a safe environment. 2014-12-08 Fall with Injury Resident #1 was a fall risk that required a one person assist with transfers. Resident #1 was assisted by staff and sustained a fall when being assisted off the bed. The fall mat was under the bed. The facility failed to adequately provide clear directions to staff related to the fall mat. The failure is a violation of resident rights, is considered neglect of care and constitutes abuse. RP2 was not found responsible for abuse. 2014.0 NaN offline Fracture or other injury
7535 CO14085 50R395 RCF Four Seasons RCF Evergreen A Failed to ensure effective administrative oversight based on the number of tags out of compliance. (22 with 2 at G) 2014-04-17 Poor Continuity Of Care Facility failed to provide effective administrative oversight based on the initial licensure survey completed on April 17, 2014. See survey for specific details. Order Imposing License Condition issued on May 7, 2014 for ROA and RN Consultant after informal conducted on May 6, 2014 at 2:00 PM. 2014.0 NaN offline Inadequate care
7536 MS151102 50R400 RCF Vista View Mood & Memory Care A Facility failed to protect residents from physical confrontation 2015-04-28 Negative Behavior Escalated, Affected Other Resident(s) The facility failed to adequately monitor Resident #1 who had a history of aggressive behavior towards others. Resident #2 also had a history of being aggressive if others were being aggressive towards him/her. Resident #1 and Resident #2 got into an altercation and both residents sustained bruising. This failure is considered neglect of care, which constitutes abuse, and is a violation of Oregon Administrative Rules. 2015.0 NaN offline Failure to address resident aggression
7537 MS149019 50R400 RCF Vista View Mood & Memory Care A Facility failed to protect RVs from inappropriate physical contact 2014-10-23 Negative Behavior Escalated, Affected Other Resident(s) The facility failed to adequately monitor and intervene related to Resident #2's aggression towards other residents. Resident #2 and Resident #1 were in an altercation, and Resident #1 sustained bruises and a skin tear. This failure is considered neglect of care, which constitutes abuse, and is a violation of Oregon Administrative Rules. 2014.0 NaN offline Failure to address resident aggression
7538 MS147701 50R400 RCF Vista View Mood & Memory Care A Facility failed to assess and intervene resulting in hospitalization. 2014-07-11 Undesirable Weight Loss The facility failed to adequately intervene when Resident #1 experienced side effects associated with a medication change. Resident #1 sustained severe weight loss over the course of 3 months. This failure is a violation of resident rights, is considered neglect of care and constitutes abuse. 2014.0 NaN offline Weight loss
... ... ... ... ... ... ... ... ... ... ... ... ... ...
7548 CO14222 50R402 RCF Grace Manor A Harm tags at survey 2014-09-19 Skin Injury The facility failed to evaluate, monitor, and ensure a RN assessed and intervened when Resident #3 experienced a significant change of condition. Resident #3 developed a pressure sore to his/her left foot and a sore to his/her bottom. The failures are a violation of resident rights, are considered neglect of care and constitute abuse. 2014.0 NaN offline Fracture or other injury
7550 AL152806 50R403 RCF Brookdale Geary Street Memory Care A Maintaining a Safe Environment 2015-03-28 Negative Behavior Escalated, Affected Other Resident(s) The facility failed to adequately monitor Resident #1. Resident #1 was to be monitored and redirected if attempting to wander into other residents rooms. He/she wandered into Resident #2's room and an altercation ensued where Resident #2 sustained a bruise on his/her hand. This failure is considered neglect of care, which constitutes abuse, and is a violation of Oregon Administrative Rules. 2015.0 NaN offline Failure to address resident aggression
7557 CO15004 50R408 RCF Bee Hive Homes of Baker City A Civil Penalty due to survey. 2014-11-10 Exposed to Potential Harm The facility failed to ensure a Registered Nurse (RN) assessed and documented findings in order to develop appropriate interventions for Resident #2 and Resident #3 who experienced significant changes of condition. Resident #2 eloped twice with no interventions being developed. Resident #3 experienced a fall resulting in a fracture and developed a stage two pressure ulcer. The failures are a violation of resident rights, are considered neglect of care and constitute abuse. 2014.0 NaN offline Potential harm
7566 BA150048B 50R408 RCF Bee Hive Homes of Baker City A RP failed to maintain an adequate medication administration system 2014-11-26 The resident did not receive an ordered medication Resident #1's medications were not being administered by the facility according to physician's orders. Resident #1 experienced unreasonable discomfort. The facility failed to provide a safe medication administration system. The failure is a violation of resident rights, is considered neglect of care and constitutes abuse. 2014.0 NaN offline Medication error
7569 WB150459 50R409 RCF Heartwood Place A Facility failed to provide a safe environment for RV resulting in a rib fracture. 2015-02-28 Transfer Resulting In Fracture Bone(s) Resident #1 was improperly transferred by two caregivers after a gait belt was unable to be located. The facility failed to ensure Resident #1's care plan was followed resulting in transportation to the hospital for treatment. The failure is a violation of resident rights, is considered neglect of care and constitutes abuse. 2015.0 NaN offline Fracture or other injury
7571 WB148265 50R409 RCF Heartwood Place A The facility failed to provide a safe environment resulting in an injury fall for RV. 2014-07-27 Fall with Injury Resident #1 was a known fall risk and experienced three injury falls between June and July 2014. The facility failed to adequately monitor and care plan surrounding Resident #1s falls resulting in harm. The failures are violations of resident rights, are considered neglect of care and constitute abuse. 2014.0 NaN offline Fracture or other injury
7577 BC151818 50R413 RCF Parkview Memory Care at Cherrywood Village A The Facility failed to assess and intervene. 2015-05-18 Transfer To Hospital For Treatment The facility failed to ensure Resident #1 was adequately checked and received timely medical treatment after experiencing a significant change of condition. Resident #1 was transported to the hospital and diagnosed with a stroke. The failures are violations of resident rights, is considered neglect of care and constitute abuse. RP2 was also found responsible for neglect of care and constitutes abuse. 2015.0 NaN offline Medical condition developed or worsened
7581 MV151389 50R414 RCF Arbor at Avamere Court, The A The facility failed to maintain a safe environment for the RVs. 2015-05-19 Negative Behavior Escalated, Affected Other Resident(s) Resident #1 had a history of agitated and aggressive behavior. The facility failed to adequately monitor Resident #1 with behaviors resulting in Resident #2 being hit. The failure is a violation of resident rights, is considered neglect of care and constitutes abuse. 2015.0 NaN offline Failure to address resident aggression
7818 MA0235 5MA107 RCF St. Andrews Memory Care A NaN 2005-10-20 Decubitus Ulcer(s) Worsened NaN 2005.0 NaN offline Medical condition developed or worsened
8098 MM117132B 5MA170 RCF Brookdale McMinnville Westside A The facility failed to provide a safe environment. 2011-05-18 Bruised On May 17, 2011, RP2 attempted to assist Resident #2 with incontinence care when the resident refused. RP2 continued to assist Resident #2 when the resident got agitated and pushed RP2. Resident #2 was observed with bruising the following day. The investigative was unable to determine if the bruising was caused during this incident. 2011.0 NaN offline Fracture or other injury
8213 MV121719 5MA205 RCF Brookdale Salem A The facility failed to provide a secure environment for RVs. 2012-11-26 Loss of Resident Property It was discovered that resident PIF funds were missing from the safe. The facility replaced all missing resident funds. An unknown individual was responsible for the loss of money which constitutes financial exploitation. The facility failed to provide a safe environment. The failure is a violation of Oregon Administrative Rules. 2012.0 NaN offline Loss of property, theft or financial exploitation
9295 MM090126 70A267 ALF Vineyard Heights Assisted Living & Retirement Cottages A NaN 2008-12-23 Financially Exploited NaN 2008.0 NaN offline Loss of property, theft or financial exploitation
9438 BC103913 70A271 ALF Providence ElderPlace in Irvington Village A NaN 2010-03-29 Negative Behavior Escalated, Affected Other Resident(s) NaN 2010.0 NaN offline Failure to address resident aggression
9828 MS090599 70A292 ALF Prestige Senior Living Arbor Place A NaN 2009-03-27 Loss of Resident Property NaN 2009.0 NaN offline Loss of property, theft or financial exploitation
10245 BC092931 70A309 ALF Hawthorne Gardens Senior Living Community A NaN 2009-12-08 Unreasonable Discomfort NaN 2009.0 NaN offline Unreasonable discomfort or continued pain
10248 BC104250 70A309 ALF Hawthorne Gardens Senior Living Community A NaN 2010-04-07 Unreasonable Discomfort NaN 2010.0 NaN offline Unreasonable discomfort or continued pain
10302 CO13016 70A319 ALF Royalton Place Assisted Living A Harm tags cited. 2013-01-16 Undesirable Weight Loss The facility failed to ensure an evaluation was reflective of Resident #2s health status; failed to evaluate a change of condition, develop interventions or monitor his/her significant change of condition; and failed to ensure his/her significant change of condition was assessed by a Registered Nurse. Resident #2 suffered a severe weight loss. The failures are a violation of resident rights, are considered neglect of care and constitute abuse. 2013.0 NaN offline Weight loss
10306 MV147397 70A320 ALF Bonaventure of Salem Assisted Living A The facility failed to provide a safe environment. 2014-06-10 Left Facility Without Assistance With Injury Resident #1 was known to forget to come to meals so he/she was care planned to be escorted to meals. On 6/10/14, Resident #1 walked out of the facility before lunch and wasnt noticed missing until dinner. He/she was not escorted to lunch that day and the resident meal log was not filled out. Resident #1 had fallen into blackberry bushes, was found by law enforcement around 8:20pm, and taken to the hospital. The facility failed to follow Resident #1s care plan to provide a safe environment. The failures are a violation of resident rights, are considered neglect of care and constitute abuse. 2014.0 NaN offline Fracture or other injury
10310 MV135109 70A320 ALF Bonaventure of Salem Assisted Living A RP1 failed to protect RV1 from physical harm. 2013-10-01 Negative Behavior Escalated, Affected Other Resident(s) The facility was aware that Resident #2 had a history of verbally abusing Resident #1; however it was permitted for them to share the same living quarters. Resident #2 had two documented incidents of being aggressive toward Resident #1, resulting in a bruise. The facility failed to take reasonable precautions to provide a safe environment. The failure is a violation of resident rights, is considered neglect of care and constitutes abuse. 2013.0 NaN offline Failure to address resident aggression
10311 MV134522 70A320 ALF Bonaventure of Salem Assisted Living A There is a concern that the facility failed to provide one of RV's scheduled medications on 09/21/13 and 09/22/13. 2013-09-21 Transfer To Hospital For Treatment Resident #1 did not receive his/her scheduled dose of medication on 9/21/13 and 9/22/13 resulting in shortness of breath and transportation to hospital for treatment. The Facility failed to provide a safe medication administration system. The failure is a violation of resident rights, is considered neglect of care and constitutes abuse. 2013.0 NaN offline Medical condition developed or worsened
10313 CO13041 70A320 ALF Bonaventure of Salem Assisted Living A Harm tags at survey; mutiple issues. 2013-04-04 Medical Condition Developed or Worsened The facility failed to provide effective administrative oversight regarding residents' quality of care and services as evidenced by the initial licensure survey findings completed on April 4, 2013. 2013.0 NaN offline Medical condition developed or worsened
10321 EN146340 70A322 ALF Wallowa Valley Senior Living A Facility failed to provide a safe environment. 2014-01-16 Skin Injury Resident #1 had a history of falls and his/her service plan stated his/her wander guard was to be attached at all times. Resident #1 slipped out of his/her wheelchair sustaining an abrasion on his/her back, the wander guard was not attached. The facility failed to follow Resident #1's service plan. The failure is a violation of resident rights, is considered neglect of care and constitutes abuse. 2014.0 NaN offline Fracture or other injury
10325 EN147996 70A322 ALF Wallowa Valley Senior Living A Facility failed to provide adequate care and services. 2014-05-12 Unreasonable Discomfort Between March 17, 2014 and May 10, 2014, Resident #1 had wait times after calling for assistance from approximately 26 minutes to over an hour and forty minutes. Resident #1 had to wait in wet garments until someone responded. This resulted in Resident #1 developing skin breakdown. On multiple occasions Resident #1's pendant was not reset, therefore, it would not work. The facility failed to respond to Resident #1's calls for assistance in a timely manner and assure call systems were working. The failures are a violation of resident rights, are considered neglect of care and constitute abuse. 2014.0 NaN offline Unreasonable discomfort or continued pain
10326 EN148285 70A322 ALF Wallowa Valley Senior Living A Facility failed to provide adequate care and services resulting in harm to RV. 2014-07-29 Unreasonable Discomfort Resident #1 was placed in bed for a nap and his/her oxygen was not transferred and turned on. While doing safety checks a staff member discovered the oxygen was not on. Resident #1 experienced chest pain and shortness of breath. The facility failed to follow Resident #1's service plan. The failure is a violation of resident rights, is considered neglect of care and constitutes abuse. 2014.0 NaN offline Unreasonable discomfort or continued pain
10332 ES153534 70A323 ALF Waterford Grand Assisted Living A The facility failed to maintain a safe medication system. 2015-11-09 Pain And Suffering Continued Resident #1's pain medication was not available when needed; therefore a delay in administering his/her pain medication. Resident #1 had more pain than usual. The facility failed to have a safe medication administration system. The failure is a violation of resident rights, is considered neglect of care and constitutes abuse. 2015.0 NaN offline Unreasonable discomfort or continued pain
11069 GB118527A 70M055 ALF Macklyn Place A NaN 2011-11-08 Failed to Receive Needed Services NaN 2011.0 NaN offline Inadequate care
11559 SL057326 70M084 ALF Silver Creek Assisted Living Facility A NaN 2005-05-15 No Negative Outcome NaN 2005.0 NaN offline Potential harm
12343 ES092539 70M226 ALF Brookdale Springfield Woodside A NaN 2009-09-22 Loss of Resident Property NaN 2009.0 NaN offline Loss of property, theft or financial exploitation
13030 BC103555 7MU215 ALF St. Anthony Village A NaN 2010-02-16 Fall with Injury NaN 2010.0 NaN offline Fracture or other injury
13031 BC103901 7MU215 ALF St. Anthony Village A NaN 2010-03-13 Mentally or Emotionally Abused NaN 2010.0 NaN offline Verbal or emotional abuse

65 rows × 13 columns


In [ ]: