Print Violation: 00256536-AP-211983

Provider Information

Bonaventure of Gresham Memory Care

22514 SE STARK STREET
Gresham, OR 97030

Date: 4/7/2023
Report number: 00256536-AP-211983
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)(g) and (s)
External site: 411-054-0028(2)
Findings: Alleged Victim (AV) relies on the facility for all his/her care needs. On or about March 21, 2023, Alleged Perpetrator 2 (AP2) grabbed AV’s right hand and caused a large skin tear when AV was resisting care from AP2. The facility offered training for AP2 on how to safely interact with resident, however, AP2 declined the training, and the training was not provided. On or about March 23, 2023, AP2 was terminated from employment after AP2 was involved in a physical altercation with another resident. AP2 was rehired for unknown reasons. On or about April 7, 2023, at approximately 8:00 AM, AV had vomited due to being sick. AP2 had attempted to physically assist AV into the shower. AV began to resist AP2, who was holding AV’s wrist and forearms. AV pulled away from AP2 and sustained a skin tear to AV’s left wrist and bruising to AV’s forearms. AP2 failed to provide a safe environment for AV, which is neglect of care and constitute abuse. The facility failed to assure AV had a safe environment, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP24-01290 $500.00 fine assessed