Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: BC181057

Provider Information


Courtyard at Mt Tabor Garden House

6323 SE DIVISION
Portland, OR 97206

Provider ID
5MA252
Administrator
Kassandra LaGrander
Phone
(503) 772-9795
Email
kassandralagrander@mbk.com

Violation Details


Date
7/12/2018
Report number
BC181057
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
Result
Substantiated
Rule(s) Violated
411-054-0027(1)(r)
411-054-0028(2)(a)
411-411-054-0040(1)(d)(B)
Findings
The alleged perpetrator (AP) physically abused the alleged victims (AVs) as defined in OAR4110100002(1)(a) by using physical force during care, resulting in injury.