Print Violation: 00342378-AP-292978

Provider Information

River Terrace Memory Care

950 SOUTH END RD
Oregon City, OR 97045

Date: 7/15/2024
Report number: 00342378-AP-292978
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: 411-054-0036(2)(g)
Findings: Alleged Victim (AV) relies on the facility for his/her care and has a history of falls. On or about July 15, 2024, AV was found on the floor after apparently attempting to self-transfer out of bed. A bed cane, with no corresponding physician's order, was found incorrectly attached to AV's bed, which may have contributed to the fall. The facility failed to provide services according to AV’s needs, which is a violation of resident rights, is neglect of care which constitutes abuse.
Sanction: RCFCP25-00296 $375.00 fine assessed