Print Violation: 00360310-AP-310624

Provider Information

Greenridge Estates

4 GREENRIDGE DRIVE
Lake Oswego, OR 97035

Date: 10/13/2024
Report number: 00360310-AP-310624
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), 411-054-0027(1)(g) and (s), 411-054-0028(2), 411-054-0036(2)(g), 411-054-0040(1)(d)
Findings: The Alleged Victim (AV) is dependent on the facility to meet his/her safety needs and has a history of recent falls. According to an investigation, on or about October 13, 2024, AV fell while attempting to open a courtyard door which was a long distance from AV's normal walking route. AV's service planned interventions were for staff to encourage AV to use a call light for assistance with walking. AV is resistive to using a call light. The facility did not develop or implement any known changes to AV's care plan to reduce the risk of falls. The facility failed to develop and implement fall interventions to address AV’s fall risk, resulting in a head injury and hospitalization. The facility failed to properly care plan for AV, which is a violation of resident rights, is considered neglect of care which constitutes abuse.
Sanction: ALFCP25-00147 $1125.00 fine assessed