Print Violation: 00306491-AP-259452

Provider Information

Rn Villa Senior Care

401 NE 139TH AVENUE
Portland, OR 97230

Date: 9/22/2023
Report number: 00306491-AP-259452
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to intervene when resident's condition changed
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: 411-054-0040(1)(a) and (d)
Findings: On or about September 22, 2023, it was noticed by staff that the Alleged Victim (AV) had a sore on his/her backside. Staff noted the information in the progress notes, however, no one notified the facility Nurse of the wound. The facility Nurse found out about the wound on October 9, 2023 and contacted AV's physician and ordered wound care from home health, as well as wound care from facility staff. From September 22, 2023 to October 9, 2023, AV's wound worsened, causing unreasonable discomfort and risk of serious harm. The facility's failure to provide timely wound care and respond to a change of condition is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP24-00167 $500.00 fine assessed