Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00389887-AP-340496
Provider Information
Bonaventure of Gresham Memory Care
22514 SE STARK STREET
Gresham, OR 97030
- Provider ID
- 50R442
- Administrator
- Toni Gossard
- Phone
- (503) 328-0010
- memorycaregre@livebsl.com
Violation Details
- Date
- 3/5/2025
- Report number
- 00389887-AP-340496
- 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: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)
- Findings
- Alleged Victim (AV) relies on the facility for his/her care needs. On or about March 3, 2025, AV stated AV was beat up by someone on AV's back. Witness 5 (W5) checked on AV and did not see any bruising on AV’s back. AV remained on alert for increase oversight of nighttime needs and hallucination. No Incident Report or Temporary Service Plan was created for this. On or about March 8, 2025, staff made a chart note that they saw [skin discoloration] on AV's right arm when they were getting AV cleaned and changed for bed. AV was put on alert for the bruising. Charting notes indicated that staff were monitoring AV for pain and further injury. No Incident Report or Temporary Service Plan was created for this. On March 18, 2025, an outside provider noticed that AV had [skin discolorations] on AV's left scapular, left ear and thigh that were fading. When questioned about the injuries, AV stated that [gender] people at the facility hit AV. After outside provider reported injuries observed on AV on March 18, 2025, staff did internal investigation which included a head to toe skin check and noticed there were total of 12 bruises noticed ranging different sizes on AV's right cheek, left scapula, left ear, back of left side neck, upper right arm, left buttock, upper left thigh, left outer knee, right inner knee, right outer skin. The facility failed to provide a safe environment for AV, which is a violation of resident rights, is neglect of care and constitutes abuse.
- Sanction
- RCFCP25-01419 $250.00 fine assessed