Print Violation: 00283693-AP-238103

Provider Information

Farmington Square Gresham

1655 NE 18TH
Gresham, OR 97030

Date: 9/1/2023
Report number: 00283693-AP-238103
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to properly plan care
Result: Substantiated
Rule(s) Violated: External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings: The Alleged Victim (AV) has a history of falls and was care planned as a high fall risk and one-person assist with all transfers. According to an investigation, on or about September 1, 2023, AV fell while self-transferring out of bed into his/her wheelchair. AV was sent to the emergency department where he/she was diagnosed with a head injury. The facility failed to properly care plan to mitigate risk of falls and self-transferring, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP24-00133 $1500.00 fine assessed