Print Violation: 00318394-AP-270549

Provider Information

Bonaventure of Gresham Assisted Living

22514 SE STARK
Gresham, OR 97030

Date: 1/13/2024
Report number: 00318394-AP-270549
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide a safe medication administration system
Result: Substantiated
Rule(s) Violated: External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a) and (f)
Findings: Alleged Victim (AV) relies on the facility to administer his/her medications. On or about January 13, 2024, AV was in significant amount of pain and requested pain medication throughout the day that was not provided. AV’s pain became so severe that AV requested to be transported to the hospital at 7:30 PM. While at the hospital, AV was diagnosed with a compressed fracture in AV’s spine, which was the cause of the pain. The facility failed to provide a safe medication administration system, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: ALFCP24-00701 $250.00 fine assessed