Print Violation: 00301700-AP-254901

Provider Information

Courtyard at Mt Tabor

6323 SE DIVISION
Portland, OR 97206

Date: 12/13/2023
Report number: 00301700-AP-254901
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to provide appropriate pain control
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: 411-054-0034(1), (2), and (3)
External site: 411-054-0055(1)(a) and (f)
Findings: The Alleged Victim (AV) was transferred to the facility from a rehabilitation facility. The facility failed to complete a medical assessment and ensure physician orders were in place prior to allowing AV to enter the facility. AV did not receive his/her pain medications on December 13, 2023 and the morning of December 14, 2023. AV's medications being missed caused AV pain and suicidal ideations. AV was sent to the hospital where he/she received needed medication and was returned to the facility with proper medication and physician orders. The facility failed to ensure AV was ready for move in to the facility prior to AV's arrival, causing AV to miss needed medication causing unreasonable discomfort. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: ALFCP24-00224 $338.00 fine assessed