Print Violation: 00280707-AP-235225

Provider Information

Monterey Court Memory Care

8915 SE MONTEREY AVE
Happy Valley, OR 97086

Date: 8/18/2023
Report number: 00280707-AP-235225
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: 411-054-0025(1)(a) and (b)
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(1)
Findings: The Alleged Victim (AV) is care planned for two person assist with transfers. AV is to be checked every two hours during the night, due to risk of falling. On or about August 16, 2023, AV was placed into bed approximately 7:30 pm and had an unwitnessed fall and was found on the floor approximately 10:15 pm. AV was sent to the hospital and diagnosed with a fractured hip. The facilities failure to follow the care plan, due to short staffing, is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP23-01440 $375.00 fine assessed