Print Violation: 00283350-AP-237798

Provider Information

St Andrews Memory Care Community

7617 SE MAIN ST
Portland, OR 97215

Date: 9/15/2023
Report number: 00283350-AP-237798
Type: Licensing Violation
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to assure resident rights
Result: Substantiated
Rule(s) Violated: External site: 411-054-0025(1)(a) and (b), 411-27054-00(1)(g) and (s), 411-054-0028(2)
Findings: The Alleged Victim (AV) relies on the facility for care and supervision. According to an investigation multiple staff members reported that they witnessed Alleged Perpetrator 2 (AP2) physically restrain and engage in aggressive and forceful behavior with AV. Facility staff did not report as mandated, which indicates a systemic failure by facility management. AP2 's actions are considered wrongful use of restraint and constitutes abuse. The facility failed to provide oversight and monitoring of AP2 and staff inaction in reporting witnessed use of wrongful restraints by AP2 to AV, which is violation of resident rights and constitutes abuse.