Print Violation: 00314671-AP-266990

Provider Information

Bonaventure of Gresham Memory Care

22514 SE STARK STREET
Gresham, OR 97030

Date: 2/20/2024
Report number: 00314671-AP-266990
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide service
Result: Substantiated
Rule(s) Violated: External site: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)
Findings: Alleged Victim (AV) relies on the facility for all mobility needs. Between the dates of February 16th through 19, 2024, AV’s air mattress came unplugged from the wall at least two (2) times. As a result, AV had a pressure ulcer on his/her coccyx that increased in size between the dates of February 16th through the 19th, 2024. On or about February 20, 2024, AV’s coccyx wound had increased in size to 2cm x 2cm x0.2 cm and was a stage 3. On or about February 24, 2024, AV’s coccyx wound was lager in size at 2.5 cm x 2.5 cm x 0.3 cm and at a stage 3. The facility failed to provide basic care and service necessary to AV, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP24-00812 $250.00 fine assessed