Print Violation: 00407220-AP-358309

Provider Information

Hawthorne Gardens Memory Care Community

2828 SE TAYLOR ST
Portland, OR 97214

Date: 3/31/2025
Report number: 00407220-AP-358309
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide oversight and monitoring of change of condition
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: 411-054-0040 (1)(b)(c)(2)(a)
Findings: The Alleged Victim (AV) relies on the facility for their care. The AV requires the assistance of two staff and the use of a sit to stand device for all transfers. According to an investigation, the AV incurred multiple injuries during transfers utilizing the sit to stand device, including skin tears and bruising, between approximately May 4, 2025, and May 26, 2025. The facility failed to evaluate and monitor the injuries and failed to develop interventions to minimize future incidents, which is a violation of resident’s rights, is neglect of care, and constitutes abuse.
Sanction: RCFCP25-01011 $188.00 fine assessed