Print Violation: 00298307-AP-251823

Provider Information

Emerson House Portland

3577 SE DIVISION
Portland, OR 97202

Date: 11/24/2023
Report number: 00298307-AP-251823
Type: Abuse: Neglect
Level: 4 - Serious harm, death, imminent danger or chronic regulatory noncompliance
Allegation: Failed to properly plan care
Result: Substantiated
Rule(s) Violated: External site: 411-0524-0028(2)
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0036(2)(g)
Findings: According to the documentation, the facility failed to properly care plan appropriate interventions for Witness 1’s (W1) known behaviors which result in resident-to-resident altercations. On or about November 24, 2023, W1 wandered into the Alleged Victim’s (AV) room and upon exiting, got into a physical altercation with the AV. W1 was witnessed pushing the AV down in the hallway and was then separated by facility staff. Facility staff evaluated the AV for injury and called EMS to take them to the hospital for assessment. The AV sustained a hip fracture which required surgery to fix, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP24-00343 $2500.00 fine assessed