Print Violation: 00217940-AP-176955

Provider Information

River Terrace Memory Care

950 SOUTH END RD
Oregon City, OR 97045

Date: 8/25/2022
Report number: 00217940-AP-176955
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to provide service
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: The Alleged Victim (AV) was care planned as a fall risk and has a history of falls, which included approximately three falls between August 4, 2022, and August 18, 2022. The facility failed to care plan or appropriately implement interventions according to the Alleged Victim (AV)'s needs, relating to falls. On or about August 25, 2022, AV was found on the floor in his/her bedroom with a head injury and sent to the hospital for evaluation, where he/she was diagnosed with a spinous process fracture. This failure is a violation of resident rights, is neglect of care which constitutes abuse.
Sanction: RCFCP23-00971 $1125.00 fine assessed