Print Violation: 00249742-AP-205545

Provider Information

Bonaventure of Gresham Memory Care

22514 SE STARK STREET
Gresham, OR 97030

Date: 2/26/2023
Report number: 00249742-AP-205545
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: Alleged Victim (AV) does not like being physically touched or having clothing removed and has exhibited recent changes in behavior. On or about February 10, 2023, AV was found unclothed in Witness 6’s (W6’s) bed, with indication of sexual contact occuring. On or about February 26, 2023, AV was once again found in W6’s bed, when AV was being removed, W6 became violent and made threats towards staff. There have been at least three (3) other instances in which AV was found in W6’s room and when AV would be removed, W6 would become combative due to AV being removed from his/her room. The facility failed to provide a safe environment for AV, putting AV in risk of harm, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP23-01598 $500.00 fine assessed