Print Violation: 00325230-AP-276735

Provider Information

Serenity RCF

15225 SE POWELL BLVD
Portland, OR 97236

Date: 4/14/2024
Report number: 00325230-AP-276735
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide safe environment
Result: Substantiated
Rule(s) Violated: 411-054-0025(1)(a) and (b), 411-054-0027(1)(g) and (s), 411-054-0028(2), 411-054-0036(2)(g)
Findings: The Alleged Victim (AV) relies on the facility for his/her care. AV and Witness 1 (W1) have a history of resident-to-resident altercations and are care planned to provide one-to-one when altercations escalate in common spaces. According to an investigation, on or about April 14, 2024, AV and W1 were in the dining room when W1 started calling AV derogatory names. W1 then threw hot coffee on AV. W1 then threw hot coffee on AV a second time while out in the hallway. Care staff did not provide one-to-one monitoring of W1, resulting in AV having hot coffee thrown on them and experiencing unreasonable discomfort. The facility failed to provide a safe environment and follow the care plan, which is a violation of resident’s rights, is neglect of care and constitutes abuse.
Sanction: RCFCP25-00393 $188.00 fine assessed