Print Violation: 00291011-AP-244965

Provider Information

Monterey Court Memory Care

8915 SE MONTEREY AVE
Happy Valley, OR 97086

Date: 10/14/2023
Report number: 00291011-AP-244965
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: 411-054-0025(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) is a known fall risk. AV's service plan states he/she is independent with ambulation and assistance with transfers, which is a conflict with AV's service plan notes that state he/she is a fall risk. AV has a history of getting out of bed often at night, but is not documented or addressed in AV's service plan. On or about October 14, 2023, AV suffered a fall in his/her room, causing a head laceration, which required staples. The facility's failure to properly care plan for falls is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP24-00012 $1125.00 fine assessed