Print Violation: 00388307-AP-338807

Provider Information

Holi Senior Living

188 NE 77TH AVE
Hillsboro, OR 97124

Date: 3/11/2025
Report number: 00388307-AP-338807
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to properly plan care
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)
External site: 411-054-0036(2)(c) and (g)
Findings: The Alleged Victim (AV) has cognitive deficits that impact memory, a history of falls, severe visual impairment and relies on the facility for his/her care. AV's care plan provided direction that AV could walk with a walker and stand-by assistance of one staff, AV was a high fall risk and should not be walking by themselves. The care plan included fall interventions of having signs in AV's room to remind AV to call for assistance and use their call light. According to an investigation, on or about March 10, 2025, AV was found on the floor in the hallway outside of AV's room, resulting in a hip fracture. The facility failed to properly plan care and follow the care plan, which is a violation of resident’s rights, is neglect of care and constitutes abuse.
Sanction: RCFCP25-01014 $375.00 fine assessed