Print Violation: 00441572-AP-393533

Provider Information

Avamere at Bethany

16360 NW AVAMERE CT
Portland, OR 97229

Date: 11/21/2025
Report number: 00441572-AP-393533
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to assure food safety
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)(l)
External site: 411-054-0036(2)(g)
Findings: On or about November 21, 2025, Alleged Victim (AV), a resident of a secure residential care facility, was served and consumed food containing shellfish despite having a documented shellfish allergy. AV did not recall having this allergy when food was served and had already eaten some of the food before staff identified the error. Upon discovery, staff monitored AV for signs of an allergic reaction (e.g., hives, swelling, respiratory distress). Based on facility documentation and interviews, AV’s shellfish allergy was known and documented in his/her care plan. Staff interviews indicated AV’s dietary restrictions were not adequately supervised during mealtime which placed AV at risk of harm. The facility's failure to ensure proper oversight and monitoring of AV’s dietary needs, is a violation of resident rights, is considered neglect of care which constitutes abuse.
Sanction: RCFCP26-00181 $188.00 fine assessed