Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00375562-AP-325958
Provider Information
Avamere at Park Place
8445 SW HEMLOCK STREET
Portland, OR 97223
- Provider ID
- 70M070
- Administrator
- Tatiana Misa
- Phone
- (503) 245-8985
- tmisa@avamerecommunities.com
Violation Details
- Date
- 12/26/2024
- Report number
- 00375562-AP-325958
- Type
- Abuse: Neglect
- Level
- 4 - Serious harm, death, imminent danger or chronic regulatory noncompliance
- Allegation
- Failed to properly plan care
- 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)(I)
External site: 411-054-0036(2)(g)
- Findings
- On January 6, 2025, ODHS Adult Protective Services (APS) initiated investigation #00375562 and issued a written investigation report, which is incorporated here by reference. Alleged Victim (AV) lived at Respondent’s facility. On or about December 26, 2024, the Alleged Victim (AV) was discovered on the bathroom floor, covered in blood. AV was transported to the hospital for treatment. AV sustained a head laceration requiring stitches and a left hip fracture requiring surgery. Facility records and interviews indicate AV had a cognitive impairment and a history of falls, which should have prompted increased supervision and interventions. AV was known to ambulate in the dark, but this risk was not addressed in the service plan. The facility failed to implement appropriate interventions to mitigate AV's fall risk which caused the fall on or about December 26, 2024, causing AV pain and unreasonable discomfort, which is violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- ALFCP26-00001 $1500.00 fine assessed