Print Violation: 00281877-AP-236423

Provider Information

Firwood Gardens RCF

819 NE 122ND AVE
Portland, OR 97230

Date: 8/24/2023
Report number: 00281877-AP-236423
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate 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: 411-054-0030(1)(e)(I)
Findings: The Alleged Victim (AV) had a history of elopement and exit seeking behaviors. AV is care planned for staff to redirect AV away from the doors when he/she is guarding the doors. According to an investigation, on or about August 23, 2023, AV attempted to elope from the facility around 2:15 pm, then continued to sit near the door waiting for staff to exit. At approximately 2:40 pm, AV exited the memory care unit, went into the dining area of the residential care facility, and exited the doors to the unsecured smoking area. The facility failed to follow AV’s care plan when staff failed to redirect AV away from the doors, placing AV at risk for serious harm. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP24-00141 $375.00 fine assessed