Print Violation: 00399588-AP-350345

Provider Information

Washington Gardens Memory Care

9000 SW 91ST AVENUE
Tigard, OR 97223

Date: 5/4/2025
Report number: 00399588-AP-350345
Type: Licensing Violation
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)
External site: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0030(1)(e)(H)
External site: 411-054-0036(2)(g)
Findings: The Alleged Victim (AV) is a known fall risk and is not to be left alone when toileting. On or about May 4, 2025, Alleged Perpetrator #2 (AP2) was assisting AV with toileting and left AV unattended to get gloves when another distraction occurred of another resident trying to leave the facility unattended. While AP2 was away from AV, AV tried to stand up, resulting in a fall, which is it believed that AV hit his/her head on the sink. AV was sent to the hospital for evaluation. AP2 left AV unattended and also did not put on the breaks to AV's walker, further placing AV at risk for harm. AP2's actions are a violation of resident rights, are considered neglect of care and constitute abuse.