Print Violation: 00381199-AP-331823

Provider Information

Courtyard at Mt Tabor Garden House

6323 SE DIVISION
Portland, OR 97206

Date: 2/5/2025
Report number: 00381199-AP-331823
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to properly plan care
Result: Substantiated
Rule(s) Violated: External site: 411-054-0025(2)
External site: 411-054-0027(1)(g) and (s)
External site: 411-054-0036(2)(g)
Findings: Alleged Victim (AV) relies on the facility for his/her care needs. AV experienced at least nine (9) unwitnessed falls in the period from December 10yth, 2024, through February 5th, 2025. Despite AV’s repeated falls, AV was not service e planned for any safety checks until AV’s service plan was updated. As a result of the falls, AV experienced a laceration to their elbow on or about January 31, 2025, and February 3, 2025, and AV experienced a cut to his/her head on or about February 5, 2025. The facility failed to adequately care plan around AV’s known history of falls, which is a violation of resident rights, is neglect of care and constitutes abuse.
Sanction: RCFCP25-00725 $188.00 fine assessed