Print Violation: 00306483-AP-259349

Provider Information

River Terrace Memory Care

950 SOUTH END RD
Oregon City, OR 97045

Date: 1/11/2024
Report number: 00306483-AP-259349
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) began having falls in December 2023, two which resulted in injury to AV. On or about January 10, 2024, AV suffered two separate falls. AV was found on the floor of his/her room. AV reported that he/she slipped out of bed. AV was diagnosed with a hairline fracture to his/her ankle. The facility's failure to ensure interventions were appropriate and properly care plan regarding AV's risk of falls is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP24-00652 $1125.00 fine assessed