Print Violation: 00396869-AP-347537

Provider Information

Avamere at Sandy Assisted Living Facility

17727 SE LANGENSAND RD
Sandy, OR 97055

Date: 4/8/2025
Report number: 00396869-AP-347537
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to provide safe environment
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)
Findings: On or about April 8, 2025, the Alleged Victim (AV) sustained a head injury when his/her personal sitting scale chair collapsed while AV was being assisted into the chair by Alleged Perpetrator 2 (AP2) and Alleged Perpetrator 3 (AP3) resulting in AV hitting the back of their head during the fall. Based on facility documentation and staff interviews, it was determined that AV’s sitting scale chair was not properly maintained by the facility which contributed to the incident. As a result of the facility failure AV experienced unreasonable discomfort and sustained a physical injury which is a violation of resident rights, is considered neglect of care, which constitutes abuse. AP2 and AP3 allegedly neglected AV. An investigation determined no abuse occurred by AP2 and AP3.
Sanction: ALFCP25-01060 $500.00 fine assessed