Print Violation: 00281198-AP-235664

Provider Information

River Terrace Memory Care

950 SOUTH END RD
Oregon City, OR 97045

Date: 8/21/2023
Report number: 00281198-AP-235664
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: 411-054-0025(1)(a) and (b)
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) relies on the facility for his or her safety and has a history of exit seeking. On or about August 21, 2023, the facility received a telephone call informing them that AV was observed outside of the locked memory care unit, walking down the street. Facility staff were unaware AV was missing. AV was located approximately 1 mile away from the facility, within blocks of a major thoroughfare and the Willamette River, and brought back to the facility. The facility failed to provide a safe environment, which is a violation of resident’s rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP24-00160 $375.00 fine assessed