Print Violation: 00472529-AP-425715

Provider Information

Powell Valley Assisted Living Community

4001 SE 182ND AVE
Gresham, OR 97030

Date: 4/1/2026
Report number: 00472529-AP-425715
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to answer call light in a timely manner
Result: Substantiated
Rule(s) Violated: 411-054-0025(1)(a) and (b)
411-054-0027(1)(g) and (s)
411-054-0028(2)
411-054-0036(2)(g)
411-054-0070(1)
Findings: Alleged Victim (AV) is a resident of the Respondent’s facility. The facility failed to provide adequate oversight to ensure AV’s care needs were met in a timely manner, resulting in unreasonable discomfort when AV remained on the floor for a prolonged period following a fall on April 1, 2026. According to facility documentation and interviews, AV is independent with ambulation, mobility, and transfers; however, care staff are expected to respond within a reasonable timeframe when AV activates the call light to request assistance. A review of AV’s call light data from March 14, 2026, through April 25, 2026, showed significant delays in staff response times, ranging from 12 minutes to 52 minutes across 14 separate days. The facility failed to ensure AV’s scheduled and unscheduled care needs were consistently met, demonstrating inadequate call system responsiveness. This lack of timely response caused AV unreasonable discomfort and constitutes abuse as outlined in 411-020-0002(1)(b)(A)(i).
Sanction: ALFCP26-00290 $1350.00 fine assessed