Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00448560-AP-400562
Provider Information
Gresham Pointe Senior Living
25200 SE STARK ST
Gresham, OR 97030
- Provider ID
- 50M055
- Administrator
- Jeff Bright
- Phone
- (503) 665-4300
- jeff.bright@sincerisl.com
Violation Details
- Date
- 11/21/2025
- Report number
- 00448560-AP-400562
- Type
- Abuse: Neglect
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to intervene when resident's condition changed
- Result
- Substantiated
- Rule(s) Violated
-
External site: 411-054-0025(1)(a) and (b), 411-054-0027(1)(g) and (s), 411-054-0028(2), 411-054-0045(1)(b) and (f)(A) and (C)
- Findings
- The Alleged Victim (AV) resided at the facility and relies on staff for some assistance with activities of daily living. According to an investigation, on or about November 21, 2025, AV had a fall resulting in a fractured finger and wrist. AV was assessed at the hospital and returned to the facility wearing a brace. The after-care documentation provided to the facility instructed staff to make an appointment for AV with an orthopedic doctor within 5 days. In the days following the fractures, AV was not assessed by a facility RN and there was no orthopedic follow-up done. On December 28, 2025, AV complained of severe pain to the elbow area of the affected arm and was set to the hospital, resulting in diagnosis of open wound with exposed hardware of the elbow. There was no documented evidence the facility had assessed AV or provided monitoring of the change in condition following the fall with fractures in November. The facility failed to provide oversight and monitoring of a change of condition, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP26-00490 $500.00 fine assessed