Print Violation: 00202117-AP-162772

Provider Information

Mountain Park Memory Care Community

13600 SE 122ND AVE
Clackamas, OR 97015

Date: 5/26/2022
Report number: 00202117-AP-162772
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to follow care plan
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: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings: The Alleged Victim (AV) is care planned to have his/her walker within his/her reach in the dining room. On or about May 26, 2022, AV's walker was not within his/her reach. AV got up from the dining room table to walk to his/her walker, tripped on the wheel and fell backwards. AV was taken to the emergency room and diagnosed with a broken hip. The facility failed to follow the care plan, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP22-01654 $1125.00 fine assessed