Print Violation: 00270859-AP-225736

Provider Information

Washington Gardens Memory Care

9000 SW 91ST AVENUE
Tigard, OR 97223

Date: 6/24/2023
Report number: 00270859-AP-225736
Type: Licensing Violation
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to follow care plan
Result: Substantiated
Rule(s) Violated: External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(a)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings: The Alleged Victim (AV) is care planned for full care with all activities of daily living. AV is a known fall risk and has suffered falls in the past. On or about June 24, 2023, Alleged Perpetrator #2 (AP2) was assisting AV back to his/her room. At some point, AP2 left AV alone and AV suffered a fall, and was found by AP2 lying face down. AP2 was seen via camera surveillance being unresponsive to AV's requests for assistance and when AV asked for a blanket, AP2 was seen to toss the blanket to AV, and not cover him/her or show any compassion to AV while waiting for emergency services to arrive. AV was sent out to the hospital for evaluation and returned with a minor head trauma, a contusion to his/her shoulder and a urinary tract infection. AP2's actions are a violation of resident rights, are considered neglect of care and constitute abuse.