Print Violation: 00342827-AP-293616

Provider Information

Courtyard at Mt Tabor

6323 SE DIVISION
Portland, OR 97206

Date: 7/16/2024
Report number: 00342827-AP-293616
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to answer call light in a timely manner
Result: Substantiated
Rule(s) Violated: External site: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0037(3)(s)
Findings: Alleged Victim’s (AV’s) care plan states staff are to check on AV regularly and respond to AV’s call button when AV requests assistance. On or about July 16, 2024, at around 12:40 AM, AV pressed AV’s call pendant for assistance. AV was experiencing pain and needed to go to the restroom and get some pain medication from his/her medicine cabinet. When AV did not get a timely response, AV attempted staff contact by calling to the front desk. When AV did not get an answer, AV called a former acquaintance in independent living to try and find out why staff were not responding. AV had even contact 911 due to AV’s concern that no one was coming to AV’s aide. Staff did not respond to AV’s call light until 2:50 AM. The facility failed to answer a call light in a timely manner, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: ALFCP24-00863 $188.00 fine assessed