Print Violation: 00352860-AP-303167

Provider Information

Bonaventure of Tigard Memory Care

15000 SW HALL BLVD
Tigard, OR 97224

Date: 9/4/2024
Report number: 00352860-AP-303167
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: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0036(2)
Findings: Alleged Victim (AV) is care planned to have care-staff provide stand-by assist during ambulation to prevent falls. On or about September 4, 2024, AV was found on the floor in a sitting position with a bleeding headwound from an unwitnessed fall. As a result, AV was taken to the hospital ER for treatment due to a laceration AV sustained to the scalp. The facility failed to follow the care plan around providing stand-by assist for AV, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP25-00315 $375.00 fine assessed