Print Violation: 00189342-AP-151162

Provider Information

Brookside Memory Care

11045 SW HALL BLVD
Tigard, OR 97223

Date: 3/15/2022
Report number: 00189342-AP-151162
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: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0030(1)(e)(I)
External site: 411-054-0036(2)(g)
Findings: Witness #1 (W1) is known to be physically aggressive with other residents. On or about March 12, 2022, W1 was observed placing a pillow over the Alleged Victim's (AV) face, causing AV unreasonable discomfort. The facility's failure to provide a safe environment is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP22-01800 $188.00 fine assessed