Print Violation: 00222009-AP-287103

Provider Information

Bonaventure of Gresham Memory Care

22514 SE STARK STREET
Gresham, OR 97030

Date: 8/20/2022
Report number: 00222009-AP-287103
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to properly plan care
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 known to have falls and to be at risk for repeated falls. Between July 1, 2022, through August 20, 2022, AV had 11 falls, as a result, AV sustained injuries in six (6) of the 11 falls which included skin tears, abrasions, bruising and bumps on his/her head. The facility made no substantive revision of AV’s care plan nor document their consideration of additional safety measure to reduce the risk of AV’s falls and the significant risk of AV sustaining injury, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP24-00759 $250.00 fine assessed