Print Violation: 00320329-AP-272167

Provider Information

Hawthorne Gardens Memory Care Community

2828 SE TAYLOR ST
Portland, OR 97214

Date: 3/16/2024
Report number: 00320329-AP-272167
Type: Licensing Violation
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide safe environment
Result: Substantiated
Rule(s) Violated: External site: 411-054-0025(1)(a) and (b), 411-054-0027(1)(g) and (s), 411-054-0028(2)
Findings: The Alleged Victim (AV) relies on the facility to manage his/her medications. According to an investigation, on or about March 16, 2024, the AV was administered a medication by a family member, resulting in multiple falls. The AV's family member informed Alleged Perpetrator 2 (AP2) that they gave the AV an un-prescribed medication. AP2 was not aware of the facility policy to inform facility management or initiate monitoring the AV for potential side effects. The facility failed to provide inservice to AP2 on facility policies regarding family members administering medication, which is a violation of resident rights, considered neglect, and constitutes abuse. The allegation that Alleged Perpetrator 2 (AP2) neglected AV was investigated and determined to be not substantiated.
Sanction: RCFCP25-01470 $188.00 fine assessed