Print Violation: 00103778-AP-079113

Provider Information

Washington Gardens Memory Care

9000 SW 91ST AVENUE
Tigard, OR 97223

Date: 9/21/2020
Report number: 00103778-AP-079113
Type: Abuse: Neglect
Level: 4 - Serious harm, death, imminent danger or chronic regulatory noncompliance
Allegation: Failed to provide safe environment
Result: Substantiated
Rule(s) Violated: External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0030(1)(e)(H)
External site: 411-054-0045(1)(f)(A)
Findings: The facility failed to provide a safe environment and to ensure timely medical treatment for the Alleged Victim (AV). On or about September 21, 2020, AV had a fall in the dining room causing a skin tear and bleeding to AV's eyebrow. The next day, AV's face was swollen and AV was still bleeding from the wound. Staff sent a photo to the facility nurse, who stated that AV was ok. On September 23, 2020, AV had more swelling, bruising and blood coming from AV's eye. AV's Primary Care Provider visited AV and told the facility to call 911. AV was sent to the hospital and was diagnosed with internal bleeding in his/her head. The facility's failures are a violation of resident rights, are considered neglect of care and constitute abuse.
Sanction: RCFCP21-01929 $1500.00 fine assessed