Print Violation: 00224983-AP-183444

Provider Information

Washington Gardens Memory Care

9000 SW 91ST AVENUE
Tigard, OR 97223

Date: 10/4/2022
Report number: 00224983-AP-183444
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: On or about October 4, 5, and 6, the Alleged Victim (AV) was found with a skin tear, bruising to arms and legs, and his/her hand on three separate occasions. Staff were retrained how to properly transfer AV, however, after the training, AV was still being found with bruising. AV is care planned to have geri sleeves on, however on two separate occasions, AV was seen without the geri sleeves. The facility failed to follow AV's care plan, placing him/her at risk for skin tears and bruising. The facility failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP23-00072 $188.00 fine assessed