Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00279845-AP-234465
Provider Information
Firwood Gardens RCF
819 NE 122ND AVE
Portland, OR 97230
- Provider ID
- 50M037
- Administrator
- Jennifer Svoboda
- Phone
- (503) 252-0085
- jsvoboda@sapphirehealthservices.com
Violation Details
- Date
- 8/12/2023
- Report number
- 00279845-AP-234465
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate 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: 411-054-0030(1)(e)(I)
- Findings
- The Alleged Victim (AV) had exit seeking behaviors, a history of elopement, and was care planned for hourly checks. According to an investigation, on or about August 12, 2023, AV was discovered missing around 4:15pm-4:30pm, with 2:00pm being the last time staff saw AV. Video footage showed AV leaving through a gate at 2:10pm and was found by a bus driver when AV was still on the bus at the end of the line. When AV was returned to the facility, between approximately 9:10pm – 9:30pm, he/she had a cut above his/her eye that was bleeding. The facility failed to provide a safe environment, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP23-01507 $375.00 fine assessed