Print Violation: 00146319-AP-115616

Provider Information

River Terrace Memory Care

950 SOUTH END RD
Oregon City, OR 97045

Date: 6/23/2021
Report number: 00146319-AP-115616
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to use restraint properly
Result: Substantiated
Rule(s) Violated: External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028
Findings: Alleged Victim relies on the facility for his/her care. On or about June 23, 2021, AV went to an outing on this/her wheelchair in the facility bus. Alleged Perpetrator 2 (AP2) properly secured AV’s wheelchair to the bus but did not use the shoulder/lap belt on the bus to secure AV to the wheelchair. A few minutes into the bus ride, AV fell out of the wheelchair and broke his/her arm. AP2 was trained to secure the wheelchair with four straps, but not to use the shoulder/lap belt to secure the resident to the wheelchair. The facility failed to use restraint properly, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP22-00121 $375.00 fine assessed