Print Violation: 00406369-AP-357378

Provider Information

Washington Gardens Memory Care

9000 SW 91ST AVENUE
Tigard, OR 97223

Date: 6/8/2025
Report number: 00406369-AP-357378
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)
External site: 411-054-0030(1)(e)(I)
External site: 411-054-0036(2)(g)
Findings: On or about June 8, 2025, the Alleged Victim (AV) was found on the floor of his/her room in a pool of blood. AV suffered a head wound, requiring 7 staples to the back of his/her head. Ten minutes prior to finding AV on the floor, AV had been in bed. Upon finding AV on the floor, another resident was in AV's room, who routinely tries to assist AV getting out of bed. AV's service plan does not indicate any interventions related to the other resident trying to assist AV out of bed. Respondents failure to provide a safe environment, and ensure interventions are in place to ensure the safety of residents. This constitutes abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(i).
Sanction: RCFCP26-00352 $375.00 fine assessed