Print Violation: 00287651-AP-241802

Provider Information

Gilman Grove Assisted Living

2205 GILMAN DRIVE
Oregon City, OR 97045

Date: 9/25/2023
Report number: 00287651-AP-241802
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to properly plan care
Result: Substantiated
Rule(s) Violated: External site: 411-054-0025(1)(a) and (b)
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 a history of falling while using alcohol. AV has fallen four times during the month of September. On or about September 25, 2023, AV was found on the floor, after pressing his/her call pendant. The facility failed to implement interventions to address AV's falls, leaving AV at risk for harm. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.