Print Violation: 00422694-AP-374194

Provider Information

River Terrace Memory Care

950 SOUTH END RD
Oregon City, OR 97045

Date: 8/26/2025
Report number: 00422694-AP-374194
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide service
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: The Alleged Victim (AV) relies on the facility for care and is care planned for staff to redirect AV if wandering into other resident rooms. Witness 1 (W1) relies on the facility for care and is care planned to ensure their room door is locked to prevent other residents from entering. AV and W1 have a history of an altercation previously in W1's room. On or about August 26, 2025, AV wandered into W1’s room resulting in W1 using their grabber tool to hit AV in the left hand and forehead, resulting in a skin tear to AV. The facility failed to provide appropriate services, to include care planning and/or implementation of effective interventions to address AV's behaviors and provide a safe environment for AV, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP25-01447 $375.00 fine assessed