This is an analysis of complaints data, munged in ../notebooks/mung.ipynb.
Raw data is in ../data/raw
The fields are:
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')
In [89]:
df.count()[0]
Out[89]:
13032
In [90]:
df[df['public']=='offline'].count()[0]
Out[90]:
7846
In [75]:
df[df['public']=='online'].count()[0]
Out[75]:
5186
In [76]:
df[df['public']=='offline'].count()[0]/df.count()[0]*100
Out[76]:
60.205647636586868
In [77]:
df[(df['outcome']=='Exposed to Potential Harm') | (df['outcome']=='No Negative Outcome')].count()[0]
Out[77]:
2509
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
In [79]:
df[(df['abuse_type']=='A') & (df['public']=='offline')].count()[0]
Out[79]:
65
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 [ ]:
Content source: TheOregonian/long-term-care-db
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