Print Violation: 00316011-AP-268195

Provider Information

River Terrace Memory Care

950 SOUTH END RD
Oregon City, OR 97045

Date: 2/28/2023
Report number: 00316011-AP-268195
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)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings: The Alleged Victim (AV) has a history of falls and is care planned for staff assistance with ambulation, transferring, toileting assistance and to have a fall mat by his/her bed. On or about March 5, 2024, AV was found on the floor next to his/her bed. The fall mat was not in place and there was a portable table tray next to AV's bed. AV suffered a laceration under his/her eye after connecting with the table tray. The facility's failure to follow AV's care plan is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP24-00637 $375.00 fine assessed