Print Violation: 00313800-AP-266292

Provider Information

Farmington Square Gresham

1655 NE 18TH
Gresham, OR 97030

Date: 2/17/2024
Report number: 00313800-AP-266292
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to follow care plan
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: 411-054-0036(2)(g)
Findings: The Alleged Victim (AV) is a fall risk and has a history of falls. The AV’s fall reduction interventions included a non-slip mat or cushion for their wheelchair seat and to assist the AV to the dining room table when noted to be leaning. According to an investigation, on or about February 17, 2024, the AV was observed leaning in their wheelchair. The AV was not assisted to the table and a non-slip pad was not placed in the wheelchair. The AV was left unattended in a common area, resulting in a fall with an injury to the bridge of the nose. The facility failed to follow the AV’s care plan. The facility's failure is a violation of resident rights, is considered neglect of care, and constitutes abuse.
Sanction: RCFCP25-00605 $188.00 fine assessed