Print Violation: 00204787-AP-165164

Provider Information

Bonaventure of Tigard Memory Care

15000 SW HALL BLVD
Tigard, OR 97224

Date: 6/11/2022
Report number: 00204787-AP-165164
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to follow care plan
Result: Substantiated
Rule(s) Violated: External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings: Alleged Victim (AV) is cared planned to be a two-person transfer. On or about June 11, 2022, Alleged Perpetrator 2 (AP2), was assisting AV with a transfer without having a second staff to assist. AV received a skin tear from his/her wheelchair during a transfer. AP2 failed to follow AV’s care plan, which is neglect of care and constitutes abuse. The facility failed to assure AV’s care plan was being followed, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP22-01443 $500.00 fine assessed