Print Violation: 00321141-AP-272954

Provider Information

Mountain Park Memory Care Community

13600 SE 122ND AVE
Clackamas, OR 97015

Date: 2/26/2024
Report number: 00321141-AP-272954
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide service
Result: Substantiated
Rule(s) Violated: External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0030(1)(e)(B), and (G)
External site: 411-054-0036(2)(g)
Findings: The facility failed to provide appropriate services according to the Alleged Victim (AV)'s needs. AV has a history of rashes. AV is service planned for full assistance with incontinence care, and showering. AV's service plan states that AV is independent in skin care; but the service plan only provides a generic intervention of reporting all new skin issues to a med tech with no further instructions on how to prevent future skin issues from occurring. Investigation determined AV did not receive showers on several occasions, and left in urine-soaked briefs on several occasions. AV sustained a skin rash to AV's thigh, buttocks and lower back and rash worsened over the course of exposure to urine. AV rash, skin injuries, and unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP24-01130 $500.00 fine assessed