Print Violation: 00278320-AP-233054

Provider Information

Avamere at Chestnut Lane

1219 NE 6TH STREET
Gresham, OR 97030

Date: 8/2/2023
Report number: 00278320-AP-233054
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: On or about August 2, 2023, Alleged Perpetrator 2 (AP2) failed to follow Alleged Victim's (AV) care plan for a two person assist with a mechanical lift for all transfers. Based on interviews and facility documentation, AP2 assisted AV without assistance causing AV to fall with injury. AV experienced pain and unreasonsible discomfort. AP2's actions is considered neglect of care which constitutes abuse. The facility failed to provide a safe environment for AV which is a failure of Oregon Administrative Rules.