Print Violation: 00149663-AP-128268

Provider Information

St Andrews Memory Care Community

7617 SE MAIN ST
Portland, OR 97215

Date: 7/13/2021
Report number: 00149663-AP-128268
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide safe environment
Result: Substantiated
Rule(s) Violated: External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0036(2)(g)
Findings: Alleged Victim (AV) relies on the facility for his/her care. AV has a history of falls when attempting self-transfers and is care planned for AV's door to be locked to prevent AV going in and attempting to self-transfer. On or about July 14, 2021 and again on July 18, 2021, AV fell while trying to self-transfer from wheelchair to his/her bed. The facility failed to ensure care plans were followed which is a violation of resident rights, is neglect of care which constitutes abuse.
Sanction: RCFCP22-00105 $375.00 fine assessed