Print Violation: 00242807-AP-199437

Provider Information

Bonaventure of Gresham Memory Care

22514 SE STARK STREET
Gresham, OR 97030

Date: 1/20/2023
Report number: 00242807-AP-199437
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide service
Result: Substantiated
Rule(s) Violated: External site: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)
Findings: Alleged Victim (AV) is a resident of the facility. AV is diagnosed with (progressive neurodegenerative diagnosis) per his/her care plan. On or about January 21, 2023, at about 10:30 am, a driver from a transportation company arrived to the facility and informed them he/she was picking AV up. Staff escorted AV to the vehicle and boarded AV. The driver informed staff he/she was driving AV to the bank, this made staff confused, but staff did not follow up or asked the driver additional clarifying questions. Approximately 30 minutes after AV left the facility, the facility received a call from AV’s bank informing them that AV was in the bank and appeared confused. The facility had no practice/procedure in place prior to this event to safeguard against such occurrence. The facility failed to provide service to assure resident safety regarding transportation service, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP24-01126 $1000.00 fine assessed