Print Violation: 00402764-AP-353712

Provider Information

Bonaventure of Gresham Memory Care

22514 SE STARK STREET
Gresham, OR 97030

Date: 5/19/2025
Report number: 00402764-AP-353712
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to properly plan care
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: 411-054-0036(2)(g)
Findings: On or about May 19, 2025, the Alleged Victim (AV) was found with 2 bruises on the left side of AV's spine of unknown origin. AV has a history of falls at the facility. Interventions in place were not progressive to ensure AV's safety from falls. Staff did not provide enough monitoring of AV to determine how AV was getting bruised, leaving AV at risk for harm. Respondent failed to ensure monitoring and progressive interventions to ensure AV's safety from bruises. This constitutes abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(i).
Sanction: RCFCP26-00170 $188.00 fine assessed