Print Violation: 00202859-AP-163549

Provider Information

Bonaventure of Gresham Memory Care

22514 SE STARK STREET
Gresham, OR 97030

Date: 5/31/2022
Report number: 00202859-AP-163549
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation
Result: Substantiated
Rule(s) Violated: External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
Findings: Alleged Victim (AV) is a known exit seeker. On or about May 31, 2022, AV was found outside the facility after leaving through a fire door emergency exit. AV exited through the door when staff in the memory care unit were not monitoring AV outside his/her room. AV knowns how to push the bar on the fire door to get it to unlock. AV had previously eloped through the fire door on or about May 27, 2022. 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: ALFCP23-00308 $375.00 fine assessed