Print Violation: 00269877-AP-224873

Provider Information

Avamere at Sandy Assisted Living Facility

17727 SE LANGENSAND RD
Sandy, OR 97055

Date: 6/23/2023
Report number: 00269877-AP-224873
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious 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: 411-054-0036(2)(g)
Findings: The facility failed to provide appropriate supervision to the Alleged Victim (AV) according to his/her care needs. The failure resulted in AV unsafely leaving the facility without assistance and without staff knowledge, placing him/her at risk of harm. Based on facility documentation and interviews, AV was admitted to the facility on or about April 16, 2023, and began exhibiting wandering behaviors and AV left the facility regularly unsupervised, shortly after admission. From April 19, 2023, to June 13, 2023, AV exhibited increased confusion, agitation, and risky behavior. During this time period, AV had multiple criminal charges filed against them due to poor decision making and a lack of capacity to understand consequences. On or about June 14, 2023, AV's PCP approved AV to be placed in Memory Care. The facility failed to supervise AV when AV left the facility and failed to implement appropriate safety planning when AV began to show signs of exit seeking behaviors. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: ALFCP24-00121 $500.00 fine assessed