Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00361848-AP-312161
Provider Information
Kelly Gardens Residential Care
813 NE KELLY AVE
Gresham, OR 97030
- Provider ID
- 50R504
- Administrator
- Peyton Brammer
- Phone
- (971) 274-2751
- ed@kellygardensresidential.com
Violation Details
- Date
- 10/8/2024
- Report number
- 00361848-AP-312161
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to properly plan care
- Result
- Substantiated
- Rule(s) Violated
-
411-054-0025(1)(a) and (b)
411-054-0027(1)(a), (g), (h), and (s)
411-054-0028(2)
411-054-0036(2)(g)
- Findings
- The facility failed to provide appropriate services according to the Alleged Victim’s (AV) care needs when AV took smoke breaks outside. Based on facility documentation and interviews, facility staff are instructed to escort AV to and from his/her smoke breaks and to check on AV every ten minutes while AV is outside or to remain directly with AV while AV is smoking. It was determined that the facility failed to provide clear direction regarding the delivery of AV's services, which resulted in AV being continually left outside for extended periods of time during inclement weather conditions between October 8, 2024, and October 25, 2024. The facility failed to provide appropriate training and oversight to ensure staff do not leave Alleged Victim (AV) outside for prolonged periods of time, resulting in AV's unreasonable discomfort due to exposure to inclement weather conditions, emotional harm due to feelings of being forgotten causing anxiety and panic, and serious loss of person dignity. The facility's failure is a moderate violation of resident rights, is considered neglect of care, and constitutes abuse.
- Sanction
- RCFCP25-00965 $500.00 fine assessed