Print Violation: 00304651-AP-257588

Provider Information

River Terrace Memory Care

950 SOUTH END RD
Oregon City, OR 97045

Date: 1/1/2024
Report number: 00304651-AP-257588
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to follow care plan
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) was a known fall risk. On or about January 1, 2024, at approximately 6:30 am, AV suffered a fall and was found on the floor in his/her room, next to his/her bed with complaints of pain to his/her knee. On the same date, approximately two hours later, AV was found on the floor again, complaining of knee pain. AV was care planned to have his/her walker within reach and to have non skid socks on. On the day of the incident, AV did not have on non skid socks, nor was AV's walker within reach. The facility failed to follow the care plan, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP24-00572 $188.00 fine assessed