Print Violation: 00374163-AP-324539

Provider Information

River Terrace Memory Care

950 SOUTH END RD
Oregon City, OR 97045

Date: 12/28/2024
Report number: 00374163-AP-324539
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to provide service
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) and 411-054-0036(2)(g)
Findings: The Alleged Victim (AV) relies on the facility for care. According to an investigation, on or about December 27, 2024, AV went to the hospital for abdominal pain and inability to bear weight, where it was discovered AV had a broken femur. The facility is unsure when or how the broken femur occurred and although AV did have a fall on December 6, 2024 and multiple staff noted AV was unsteady on their feet, AV’s care plan does not mention they are a fall risk and it was not updated with any additional interventions. The facility failed to provide appropriate services according to Alleged Victim’s needs, regarding care planning, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP25-00800 $1125.00 fine assessed