Print Violation: 00308371-AP-261128

Provider Information

Serenity RCF

15225 SE POWELL BLVD
Portland, OR 97236

Date: 1/7/2024
Report number: 00308371-AP-261128
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide service
Result: Substantiated
Rule(s) Violated: 411-054-0025(1)(a) and (b)
411-054-0027(1)(g) and (s)
411-054-0028(2)
411-054-0030(1)(e)(I)
411-054-0036(2)(g)
Findings: The Alleged Victim (AV) and Witness 1 (W1) both rely on the facility for care. W1 has a history of aggressive behaviors that often lead to both verbal and physical altercations that include ramming people with their power wheelchair and throwing things. According to an investigation, on or about January 6, 2024 W1 was in a heightened emotional state and after having two previous physical altercations with other residents, W1 threw a bowl of guacamole at the AV. The next day, January 7, 2024, W1 engaged in additional altercations with other residents, and then threw orange juice at AV while attempting to hit AV with their power wheelchair. The facility failed to provide appropriate services, to include implementing a care plan and implementing effective interventions to address W1's behaviors and provide a safe environment for AV, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP25-01507 $250.00 fine assessed