Print Violation: 00367757-AP-318021

Provider Information

Gresham Pointe Senior Living

25200 SE STARK ST
Gresham, OR 97030

Date: 11/22/2024
Report number: 00367757-AP-318021
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to follow care plan
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: 411-054-0036(2)(g)
Findings: According to the documentation, the facility failed to follow the service plan for the Alleged Victim (AV) for incontinence care and skin checks, resulting in the AV having a urine-soaked mattress and fungal infections. On or about November 20, 2024, an assessment was completed on the AV due to seeing sores on their skin. The AV was diagnosed with a fungal infection with mushroom like sores on their skin. The AV’s mattress was observed to be soaked in urine and a pool of urine was found underneath the resident’s bed. The Mattress needed to be thrown away due to the amount of urine on the mattress for a prolonged period. The failure to follow the service plan for incontinence care and skin checks caused the AV to suffer from a fungal infection and skin breakdown, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP25-00346 $1500.00 fine assessed