Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: 00129548-AP-101085

Provider Information


Cedar Crest Alzheimer Special Care Center

18325 SW PACIFIC HWY
Tualatin, OR 97062

Provider ID
5MA207
Administrator
YVONNE ALEXANDER
Phone
(503) 925-0544
Email
yvonne.alexander@sincerisl.com

Violation Details


Date
3/14/2021
Report number
00129548-AP-101085
Type
Licensing Violation
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to provide safe environment
Result
Substantiated
Findings
On or about March 14, 2021, Alleged Victim (AV) was found on the floor by Alleged Perpetrator 2 (AP2) and Alleged Perpetrator 3 (AP3). AP2 and AP3 than proceeded to transfer AV prior to an evaluation by nurse or medication technician. AV's care plan states that AV is not to be moved if AV suffers a fall. AP2 and AP3 failed to follow AV's care plan which resulted in AV suffering a substantial injury to his/her right calf. AP2's and AP3's actions are considered neglect of care which constitutes abuse. The facility failed to provide AV a safe environment which is a violation of Oregon Administrative Rules.