Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00290928-AP-244914A
Provider Information
Mountain Park Memory Care Community
13600 SE 122ND AVE
Clackamas, OR 97015
- Provider ID
- 50R483
- Administrator
- AMY BUCHANAN
- Phone
- (503) 919-7722
- ed@mountainparkmc.com
Violation Details
- Date
- 10/13/2023
- Report number
- 00290928-AP-244914A
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to assist with toileting
- Result
- Substantiated
- Rule(s) Violated
-
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(a)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0030(1)(e)(A) and (G)(H) and (I)
External site: 411-054-0036(2)(g)
- Findings
- Alleged Victim (AV) Service Plan indicates AV's primary language is Mandarin. AV does not have the ability to understand and to be understood. Staff to be patient when trying to communicate with AV. Try to guide AV and give visual cues and modeling as much as possible. AV is able to make simple decisions but also needs safety awareness assistance. AV has history of falls, physical weakness, poor gait, poor balance, and decreased mobility. Staff will need to provide assistance with ambulation. AV will need assistance with transferring. AV has incontinence issues. Staff will need to offer AV assistance with toileting upon waking, before and after meals, as well as before bedtime. Staff to check on AV during NOC shift and offer to provide toileting assistance. Staff to assist with accidents when they are observed and ensure that Peri care is provided. AV should be cleaned and dry after toileting assistance is provided. On or about October 13, 2023, per camera review AV is seen walking down the hall with h/h walker, AP2 is sitting across the room. AV walked into the dining area and started handling the feces in their pants. AP2 stepped in front of AV and as a result, AV lost their balance, fell to the floor, and laid in a soil brief. AV laid on the floor for approximately 6 minutes groaning, asking for help and in discomfort. AP2 did not call for additional staff for assistance to help AV off of the floor. Once AV got h/h-self up off the floor, AP2 refused to help AV with peri care, AP2 instructed AV to sit down and wait approximately 5 min until the next staff member could help clean them up. AP2 was trained by the facility to work with residents, facility staff are supposed to call for another staff to help when a resident falls. As a result of AP2's actions, AV experienced unreasonable discomfort and loss of personal dignity, which is neglect and abuse. The facility failed to ensure the residents rights/treatment was being followed, which is a violation of Oregon Administrative rules.