Print Violation: 00307155-AP-260098

Provider Information

St Andrews Memory Care Community

7617 SE MAIN ST
Portland, OR 97215

Date: 1/18/2024
Report number: 00307155-AP-260098
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: According to the documentation, the facility failed to properly care plan appropriate fall interventions for the Alleged Victim’s (AV) repeated falls. From approximately December 27, 2023, through January 18, 2024, the AV experienced approximately four (4) falls with no new fall interventions. On February 03, 2024, the AV complained of back pain and on February 4, 2024, S/he was witnessed by staff to have difficulty standing up, so they sent them to the hospital for assessment. The AV received a diagnosis of a compression fracture and hospital documentation shows the compression fracture is consistent with the AV’s recent falls, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP24-00648 $1125.00 fine assessed