Print Violation: 00327706-AP-279098

Provider Information

Bonaventure of Gresham Memory Care

22514 SE STARK STREET
Gresham, OR 97030

Date: 4/24/2024
Report number: 00327706-AP-279098
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to follow care plan
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)(I)
External site: 411-054-0036(2)(g)
External site: 411-054-0070(1)
Findings: The Alleged Victim (AV) has become increasingly agitated when frustrated with something or someone. To prevent altercations, the facility determined to have staff available in the common area to prevent altercations between residents. On or about April 24, 2024, AV and Witness #1 (W1) engaged in an altercation where AV grabbed W1's cup of coffee, each resident slapped each other. AV suffered a scratch to his/her right hand. The facility was short staffed this day, and were not able to keep eyes on AV. The respondent failed to ensure staff followed the service plan and ensure enough staff were available to keep residents safe. This constitutes abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(i).
Sanction: RCFCP26-00089 $500.00 fine assessed