Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00055783-AP-039260
Provider Information
Arbor Senior Living
800 NW 25TH AVE
Portland, OR 97210
- Provider ID
- 50R369
- Administrator
- Pablo Chable
- Phone
- (503) 688-5080
- arborseniorliving@gmail.com
Violation Details
- Date
- 10/15/2019
- Report number
- 00055783-AP-039260
- Type
- Abuse: Neglect
- Level
- 4 - Serious harm, death, imminent danger or chronic regulatory noncompliance
- Allegation
- Failed to provide service
- Result
- Substantiated
- Rule(s) Violated
-
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0030(e)
External site: 411-054-0036(2)
- Findings
- Alleged Victim (AV) lived at the facility for approxemetly three months. AV had pre-existing skin issues at the time of admit, but developed several new sores during his/her stay due to physical movement and repositioning limitations, not having the necessary durable medical equipment in-house, the limited scope and practive of on-site staff to provide certain wound cares needed, chronic staffing shortages, and AV preferences to remain in his/her chair for comfort. At the time of admission, the facility was given information related to AV's care need levels involving urostomy care and hoyer lift transfers. When AV was admitted to the facility, the facility did not have a hoyer lift for AV in-house. Two-three person transfers assists were provided without durable medical equipment when possible, and the facility eventually resorted to using another residents hoyer lift from a different floor, whcih was too small for AV. AV's urostomy bag had continual leaking issues, and this would results in AV sitting in his/her own urine and feces for long periods of time, up to hours, which resulted in more skin breakdown and decomposition. Home Health provided cares to AV's wounds and urostomy one time weekly. Home Health provided the facility with orders in regards to wound care and repositioning which was not consistently followed by the facility. This appears to have been a chronic, ongoing problem for the entirety of AV's stay at the facility and resulted in AV's distrust of the facility staff to properly tend to his/her needs, which resulted in an increase of AV refusing physical care assistance. AV reported being left in the same position in bed for 4-5 hours at times. AV was afraid of being stuck in the same position in bed so AV decided to live in his/her chair and refused assistance to bed if and when that assistance was offered. AV experienced significant decline in his/her overall physical health, mental health and psychological health during the time he/she lived at the facility. On or about October 15, 2019, AV was hospitalized with a high fever and was diagnosed with sepsis. After spending two weeks stabilizing in the hospital and discharging to a skilled nursing facility, the AV's skin issues have resolved and AV's health has improved. The facility failed to provide services to AV, which is a violation of resident rights, is neglect of care and constitutes abuse.
- Sanction
- RCFCP20-01021 $2500.00 fine assessed