Print Violation: 00096724-AP-073241 A

Provider Information

Bonaventure of Gresham Memory Care

22514 SE STARK STREET
Gresham, OR 97030

Date: 7/19/2020
Report number: 00096724-AP-073241 A
Type: Licensing Violation
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to protect resident from physical abuse
Result: Substantiated
Rule(s) Violated: External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0028(2)
Findings: Alleged Victim (AV) has a progressive neuro-cognitive diagnosis, is very scared, and is looking for his/her spouse all the time. Between 6:00pm and 8:00pm on an unspecified night shift, Alleged Perpetrator 2 (AP2) yelled at AV to go to bed when AV was having anxiety about going to bed. AV went to bed and subsequently sat up. When AP2 observed AV to be in a sitting position, AP2 pushed AV back down in bed from a sitting position, into a laying position. AP2 pushing AV is considered physical abuse. The facility failed to protect AV from physical abuse abuse which is a violation of Oregon Administrative Rules.