Print Violation: 00286935-AP-241445

Provider Information

St Andrews Memory Care Community

7617 SE MAIN ST
Portland, OR 97215

Date: 9/20/2023
Report number: 00286935-AP-241445
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: 411-054-0030(1)(e)(I)
External site: 411-054-0036(2)(g)
Findings: The facility failed to implement interventions, appropriately care plan and monitor the Alleged Victim (AV) according to his/her wandering behavior and prior altercation with Witness 5 (W5). On or about September 20, 2023, AV wandered to W5's room, where AV's hand was shut in W5's door. AV was transported to the hospital and diagnosed with a fractured finger, lacerations, and referred to a hand surgeon. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP23-01309 $1125.00 fine assessed