Print Violation: 00374801-AP-325185

Provider Information

Monterey Court Memory Care

8915 SE MONTEREY AVE
Happy Valley, OR 97086

Date: 12/31/2024
Report number: 00374801-AP-325185
Type: Abuse: Neglect
Level: 4 - Serious harm, death, imminent danger or chronic regulatory noncompliance
Allegation: Failed to provide safe environment
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: 411-054-0030(1)(e)(H)
External site: 411-054-0200(11)
Findings: On or about December 31, 2024, the Alleged Victim (AV) suffered an unwitnessed fall in his/her room. AV had tried to use the call button to call for assistance, however, no staff arrived to assist. AV's fall resulted in AV suffering a broken hip, which required surgical intervention. It was later discovered that AV's call button in his/her room was not working and that staff had been advised that the call system wasn't working prior to the fall, however, it was not fixed timely. The facility's failure to ensure resident safety is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP25-00472 $1500.00 fine assessed