Print Violation: 00285868-AP-240357

Provider Information

Farmington Square Gresham

1655 NE 18TH
Gresham, OR 97030

Date: 10/4/2023
Report number: 00285868-AP-240357
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to properly plan care
Result: Substantiated
Rule(s) Violated: 411-054-0027(1)(f) and (r)
411-054-0028(2)
411-054-0036(2)(g)
Findings: The facility failed to implement interventions and appropriately care plan regarding Alleged Victim’s (AV) known fall risk. AV has a history of unsteady gait and shuffling their feet while walking and had multiple documented falls. According to an investigation, on or about October 4, 2023, AV was walking in the courtyard and fell, resulting in a skin tear to their shoulder. The facility failed to implement interventions to mitigate AV’s increasing fall risk, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP23-01585 $188.00 fine assessed