Print Violation: 00215947-AP-175087

Provider Information

Mountain Park Memory Care Community

13600 SE 122ND AVE
Clackamas, OR 97015

Date: 8/15/2022
Report number: 00215947-AP-175087
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: 411-054-0025(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) has a history of choking and is care planned to have his/her food cut into small pieces and have moisture on the food, such as gravy or sauce. On or about August 15, 2022, AV was fed tater tots that were not cut up and also did not have any sauce. Staff noticed that AV sounded different and had AV drink some water, avoiding AV choking, however, AV was placed at risk for harm by not having his/her food prepared properly. The facility failure to follow the care plan is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP22-01661 $375.00 fine assessed