Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00186790-AP-148870
Provider Information
Bonaventure of Gresham Memory Care
22514 SE STARK STREET
Gresham, OR 97030
- Provider ID
- 50R442
- Administrator
- Toni Gossard
- Phone
- (503) 328-0010
- memorycaregre@livebsl.com
Violation Details
- Date
- 2/23/2022
- Report number
- 00186790-AP-148870
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide service
- 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 needs. On or about January 2022, AV sustained a large wound to his/her left arm. As a result, AV received staples to his/her arm after being seen at the hospital. The facility did not know how the wound occurred. On or about February 23, 2022, AV sustained a wound to his/her left arm in the same spot as the January 2022, left arm injury. The February 23, 2022, wound appearance was very similar to the wound sustained in January 2022. AV’s Care Plan stated he/she needs to have arm coverings or long sleeves on at all times to prevent any wounds. AV’s arms were not covered on February 23, 2022, when AV received the arm injury. AV is also care planned to received assistance with oral hygiene. AV’s teeth have been found dirty and uncared for on an ongoing basis. AV was not receiving daily oral rinse since staff could not locate AV’s rinse application cup. AV was care planned to have compression socks put on at 8:00 am and take off at 8:00pm, however, AV has not been getting his/her compression socks put on regularly. Witness 1 (W1) had witnessed AV without his/her compression socks on, on multiple occasions. The facility failed to provide service, which is a violation of resident rights, is neglect of care and constitutes abuse.
- Sanction
- RCFCP23-00912 $250.00 fine assessed