Print Violation: 00339368-AP-290233

Provider Information

Rosewood Memory Care

2550 SE CENTURY BLVD
Hillsboro, OR 97123

Date: 6/26/2024
Report number: 00339368-AP-290233
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to properly plan care
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: On or about June 26, 2024, Alleged Victim (AV) sustained an injury due to a fall. Based on facility documentation and interviews, AV was being transferred from the toilet, began to fall, and struck their head, causing an injury to his/her forehead area. AV is a resident of the facility and was receiving direct care support from staff when the injury occurred. The facility failed to provide and train staff on AV's updated care plan, which required a two-person transfer for AV. Facility's failure to provide AV's most current care plan to care staff, resulted in staff completing a one-person transfer for AV. The facility's failure to properly care plan for AV by failing to ensure staff were trained on changes made to AV's care plan, resulted in a fall and injury to AV's head which is a violation of Resident Rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP24-01151 $375.00 fine assessed