Print Violation: 00236207-AP-193599

Provider Information

Bonaventure of Tigard Assisted Living

15000 SW HALL BLVD
Tigard, OR 97224

Date: 12/8/2022
Report number: 00236207-AP-193599
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)
Findings: Alleged Victim (AV) is known to be a high fall risk prior to moving to the facility. Care plan states staff are to provide support by assisting stand by for transfer while AV is in the apartment, providing frequent safety checks, at least four times per shift. Between September 18th, through December 14th, 2022, AV suffered 10 falls, most of which led to AV sustaining injury such as laceration to the hand, bruising on left eye, bleeding from the face, skin tear to the elbows, and redness to the hip. The facility failed to provide a safe environment for AV, due to the repeated falls with injuries for an extended period of time, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: ALFCP23-00613 $250.00 fine assessed