Print Violation: 00382182-AP-332714

Provider Information

Columbia Place Assisted Living

15727 NE RUSSELL ST
Portland, OR 97230

Date: 2/6/2025
Report number: 00382182-AP-332714
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to provide oversight and monitoring of change of condition
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: 411-054-0040(1)(a) and (d), (2)
Findings: The Alleged Victim (AV) has multiple chronic wounds, and staff are to document or report any new or worsening wounds. On or about February 6, 2025, staff informed home health of an untreated wound on AV's right hip. Staff claims to have notified other facility staff a couple weeks prior, however, no documentation exists of this occurring. AV's wound was unstageable and necrotic on February 6, 2025, when reported to home health. Had the wound been followed up on earlier, treatment options would have been available to prevent the wound from degrading to the level it was found by home health. Respondent failed to ensure staff followed protocol to ensure nursing staff were made aware of a change of condition, causing AV unreasonable discomfort. This constitutes abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(i).
Sanction: ALFCP26-00065 $375.00 fine assessed