Print Violation: 00268099-AP-223054

Provider Information

Avamere at Chestnut Lane

1219 NE 6TH STREET
Gresham, OR 97030

Date: 6/10/2023
Report number: 00268099-AP-223054
Type: Licensing Violation
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide safe environment
Result: Substantiated
Rule(s) Violated: 411-054-0025(1)(a) and (b)
Findings: During the June 10, 2023 to June 11, 2023 night shift, Alleged Perpetrator 2 (AP2) was rough with Alleged Victim (AV) while assisting AV with his/her Activities of Daily Living. Based on facility documentation and interviews, AP2 failed to follow AV's care plan for two person assistance with AV's Activities of Daily Living. AP2 kept changing AV when AV asked AP2 for a two person assistance and AP2 moved AV's legs too fast causing pain in the hip and legs. AP2's actions caused AV unreasonable discomfort which is considered neglect of care which constitutes abuse. The facility failed to provide a safe environment for AV which is a violation of Oregon Administrative Rules.