Print Violation: 00248633-AP-204547

Provider Information

River Terrace Memory Care

950 SOUTH END RD
Oregon City, OR 97045

Date: 2/21/2023
Report number: 00248633-AP-204547
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to properly plan care
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: The facility failed to implement interventions and appropriately care plan regarding Alleged Victim’s (AV) known fall risk. AV had approximately four (4) documented falls between January 2, 2023, and February 21, 2023, some resulting in injury including but not limited to scrapes, abrasions, and a closed fracture of the nasal bone. The facility failed to appropriately care plan and implement reasonable interventions to address AV’s increasing and ongoing falls, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP23-01077 $500.00 fine assessed