Print Violation: 00384068-AP-334560

Provider Information

Hawthorne Gardens Memory Care Community

2828 SE TAYLOR ST
Portland, OR 97214

Date: 2/18/2025
Report number: 00384068-AP-334560
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), 411-054-0027(1)(g) and (s), 411-054-0028(2), 411-054-0030(1)(e)(I), 411-054-0040(2)(a)
Findings: The Alleged Victim (AV) relies on the facility for his/her care. Witness 5 (W5) has a history of resident-to-resident altercations and is care planned to be redirected by staff when agitated and acting aggressively. According to an investigation, on or about February 18, 2025, W5 was showing signs of agitation all day and pushed AV against a wall and AV then fell to the ground, resulting in AV having a bump to the back of the head. The facility failed to monitor W5's behaviors and provide a safe environment, which is a violation of resident’s rights, is neglect of care and constitutes abuse.
Sanction: RCFCP25-00632 $375.00 fine assessed