Print Violation: 00412443-AP-363627

Provider Information

Hawthorne Gardens Memory Care Community

2828 SE TAYLOR ST
Portland, OR 97214

Date: 7/4/2025
Report number: 00412443-AP-363627
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to address resident's behavior
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: The Alleged Victim (AV) relies on the facility for their care. The AV is care planned to require frequent supervision and oversight to protect the AV. Witness 7 (W7) has a history of sexually inappropriate behaviors towards the AV and other residents. According to an investigation, on or about, June, 4 2025, the AV and W7 were observed exiting W7's room. The AV was reported to appear highly agitated and angry when questioned about the incident. The facility failed to implement adequate safety interventions to prevent W7 from engaging in sexually inappropriate behaviors. The facility failed to appropriately care plan, which is a violation of resident’s rights, is neglect of care, and constitutes abuse.
Sanction: RCFCP25-01212 $188.00 fine assessed