Print Violation: 00277578-AP-232245

Provider Information

The Creston Senior Living

3102 SE HOLGATE BLVD
Portland, OR 97202

Date: 7/27/2023
Report number: 00277578-AP-232245
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to follow care plan
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)
External site: 411-054-0070(2)(a)
Findings: The Alleged Victim (AV) relies on the facility for assistance with transfers, which includes use of a gait belt. According to an investigation, on or about July 27, 2023, the AV was being transferred without the use of a gait belt, which resulted in AV sliding to the floor and his/her prosthetic leg getting caught under the wheelchair. AV was transported to the hospital where he/she was diagnosed with a fractured femur. The facility failed to follow the Alleged Victim’s (AV) care plan and ensure that staff were properly trained in the use of a gait belt, which is a violation of resident rights, is neglect of care which constitutes abuse. The allegation that Alleged Perpetrator 2 (AP2) failed to provide services was investigated and determined to be not substantiated.
Sanction: RCFCP23-01450 $1125.00 fine assessed