Print Violation: 00177382-AP-140938

Provider Information

Hawthorne Gardens Memory Care Community

2828 SE TAYLOR ST
Portland, OR 97214

Date: 1/2/2022
Report number: 00177382-AP-140938
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: 411-054-0028(2)
Findings: Alleged Victim (AV) relies on the facility for his/her care. On or about January 2, 2022, AV was observed by staff walking out of a staff room with two (2) sharp kitchen knives in his/her hand. Staff was not able to de-escalate AV and/or convince AV to unhand the knives. The staff room has a lock on the inside which was not set to “lock” at the time of the incident, allowing AV entrance into the room. The facility failed to provide a safe environment for AV, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP22-00967 $500.00 fine assessed