Print Violation: 00346885-AP-297303

Provider Information

Bonaventure of Gresham Memory Care

22514 SE STARK STREET
Gresham, OR 97030

Date: 8/5/2024
Report number: 00346885-AP-297303
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide safe environment
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)
Findings: On or about August 5, 2024, the Alleged Victim (AV) was having behaviors and staff were trying to de-escalate the situation. Escalation attempts did not work, and AV left the locked portion of the building through a fire door into the assisted living side of the building. Staff did not keep eyes on AV to know where AV went and searched for AV in the assisted living and did not see AV until security was brining AV back to the locked side of the facility. Respondent failed to provide a safe environment for AV by not training staff to remain within a certain length of residents to elope from the facility.
Sanction: RCFCP26-00092 $188.00 fine assessed