Print Violation: 00378463-AP-328859

Provider Information

Bonaventure of Tigard Memory Care

15000 SW HALL BLVD
Tigard, OR 97224

Date: 1/19/2025
Report number: 00378463-AP-328859
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
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)(I)
Findings: On or about January 19, 2025, the Alleged Victim (AV) and Witness #1 (W1) engaged in an altercation where W1 went into AV's room and hit AV. AV suffered bleeding from the ear and was shaking in distress from the altercation. AV and W1 have had previous altercations, and staff were to monitor W1 for behaviors to avoid altercations. Respondent failed to ensure staff followed the service plan to monitor W1 to avoid altercations for resident safety. This constitutes abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(i).
Sanction: RCFCP26-00158 $375.00 fine assessed