Print Violation: 00015697-AP-011235

Provider Information

Farmington Square Gresham

1655 NE 18TH
Gresham, OR 97030

Date: 1/10/2019
Report number: 00015697-AP-011235
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to provide service
Result: Substantiated
Rule(s) Violated: External site: 411-054-0028(2)
External site: 411-054-0036(2)(c) and (e)
External site: 411-054-0040(2)(b)
External site: 411-054-0045(2)(a)(A), (B) and (C)
Findings: On or about January 10, 2019, Alleged Victim (AV) had an ingrown toenail treated by a podiatrist. The podiatrist applied a bandage on the toe. It is unclear if the podiatrist communicated with the facility regarding the services that were rendered. AV was also on hospice with a bath aid providing a bed bath and nail care approximately twice weekly. Nail care had been documented by the bath aid as completed on January 9th and January 18, 2019. On or about January 24, 2019, a facility staff noticed the bandage on AV's toe. The next day January 25, 2019, a facility medical professional removed the bandage and described AV's skin came off with the bandage, leaving only a bone stump on the bottom half of AV's toes, there was some black area, and redness. The facility was unaware of the bandaged toe until January 24, 2019. The facility failed to ensure AV received necessary services, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP20-00725 $375.00 fine assessed