Print Violation: 00054174-AP-037926

Provider Information

Hill House Company

1325 SW GIBBS
Portland, OR 97201

Date: 10/18/2019
Report number: 00054174-AP-037926
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to assure resident was safe
Result: Substantiated
Rule(s) Violated: External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0030(1)(g)
Findings: Because the facility closed prior to the completion of this investigation report, no Civil Penalty can be levied against this owner for this action. The facility failed to provide a safe environment, failed to implement appropriate interventions and provide adequate supervision according to Alleged Victim’s (AV) known behaviors. The investigation revealed that AV’s bed had multiple cigarette burns and his/her room smelled of cigarette smoke and urine. Facility staff were aware of this but did not provide AV a new room or provide a new mattress until an outside entity requested it. The facility's failures are a violation of resident rights, are considered neglect of care and constitutes abuse.