Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00236345-AP-193806
Provider Information
Bonaventure of Gresham Memory Care
22514 SE STARK STREET
Gresham, OR 97030
- Provider ID
- 50R442
- Administrator
- Toni Gossard
- Phone
- (503) 328-0010
- memorycaregre@livebsl.com
Violation Details
- Date
- 12/14/2022
- Report number
- 00236345-AP-193806
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide a safe medication administration system
- Result
- Substantiated
- Rule(s) Violated
-
External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
- Findings
- Alleged Victim (AV) relies on the facility to administer his/her medications. On or about November 28, 2022, AV was reported to have been refusing medications and was noted to have been experiencing an increase in agitation and aggression. AV was prescribed an antibiotic to treat a suspected urinary tract infection (UTI), and a patch to treat cognitive decline. On or about December 2, 2022, Witness 1 (W1) visited the facility and had noticed AV to be anxious and disoriented. W1 was informed that the facility had not received the orders for AV’s antibiotic and patch, W1 was told that the facility’s fax was unreliable. W1 refaxed the order to a separate fax number provided to W1. On or about December 6, 2022, W1 once again visited the facility and found that AV had an incident where AV urinated on a chair, and he/she was noted to have an increased incontinence. The facility had not yet initiated administration of AV’s antibiotics and patch. On or about December 12th and 13th, 2022, W1 had left several voice messages to the facility seeking information about the facility’s implementation of AV’s antibiotic and patch. As of December 14, 2022, the facility had not initiated administration of AV’s antibiotic and patch. The facility failed to provide a safe medication administration system for AV, putting AV in risk of harm, which is a violation of resident rights is neglect of care and constitutes abuse.
- Sanction
- RCFCP23-01501 $250.00 fine assessed