Print Violation: 00309354-AP-262580

Provider Information

River Terrace Memory Care

950 SOUTH END RD
Oregon City, OR 97045

Date: 1/27/2024
Report number: 00309354-AP-262580
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate 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)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0030(1)(e)(I)
External site: 411-054-0036(2)(g)
Findings: Alleged Victim (AV) relies on the facility for his/her care. On or about January 29, 2024, AV was attempting to walk into a room and was blocked by facility staff. AV threw themselves on the ground and hit their head on the door frame, resulting in being sent out to the hospital. AV's service plan does not mention AV having any behaviors of throwing self to floor, or provide staff with any interventions on how to address AV's behavior of throwing self to the ground. The facility failed to appropriately care plan and implement reasonable interventions to address AV’s behaviors, which is violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP25-00295 $375.00 fine assessed