Print Violation: 00099324-AP-075336

Provider Information

Avamere at Sandy Assisted Living Facility

17727 SE LANGENSAND RD
Sandy, OR 97055

Date: 8/21/2020
Report number: 00099324-AP-075336
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to follow care plan
Result: Substantiated
Rule(s) Violated: External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings: Alleged Victim (AV) is care planned a fall risk with interventions to wear non-skid footwear and for his/her ambulation assistance device to be out of reach to prevent AV from self-transerring. On or about August 21, 2020, AV attempted to self-transfer and fell sustaining a hip fracture. It it unknown if AV was wearing non-skid footwear and his/her ambulation device was left within reach. The facility failed to follow AV's care plan which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: ALFCP21-01179 $375.00 fine assessed