Print Violation: 00320491-AP-272341

Provider Information

Cedar Crest Alzheimer Special Care Center

18325 SW PACIFIC HWY
Tualatin, OR 97062

Date: 3/13/2024
Report number: 00320491-AP-272341
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to provide safe environment
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. According to an investigation, on or about February 21, 2024, the AV had an unwitnessed fall resulting in a laceration to the head. The AV fell again on or about March 13, 2024, again resulting in an injury to the head. The AV’s wound became infected, causing AV serious pain, discomfort, and requiring an emergency department visit and medications to manage the pain and infection. The facility failed to provide appropriate services according to the AV’s needs, relating to care planning and lack of appropriate interventions, to mitigate the risk of injury due to AV's falls, which is a violation of resident rights, is neglect of care which constitutes abuse.
Sanction: RCFCP25-00735 $450.00 fine assessed