Print Violation: 00229370-AP-187467

Provider Information

Russellville Park Memory Care

20 SE 103RD AVENUE
Portland, OR 97216

Date: 10/28/2022
Report number: 00229370-AP-187467
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide safe environment
Result: Substantiated
Rule(s) Violated: External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0030(1)(e)(I)
Findings: The Alleged Victim (AV) and Witness 1 (W1) have a history of verbal and physical altercations. The facility failed to provide a safe environment to the Alleged Victim (AV). According to an investigation, AV and W1 had a previous resident-to resident altercation and W1 was on a behavior plan for monitoring for aggression with staff and other residents. On or about October 28, 2022, AV and W1 had a resident-to-resident altercation where AV was found walking out of W1’s room with a bloody nose and a lump on his/her head. The facility’s failure is a violation of resident rights, is neglect of care which constitutes abuse.
Sanction: RCFCP23-00469 $250.00 fine assessed