Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: CALMS - 00083194
Provider Information
Mountain Park Memory Care Community
13600 SE 122ND AVE
Clackamas, OR 97015
- Provider ID
- 50R483
- Administrator
- AMY BUCHANAN
- Phone
- (503) 919-7722
- ed@mountainparkmc.com
Violation Details
- Date
- 6/24/2025
- Report number
- CALMS - 00083194
- Type
- Licensing Violation
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to provide safe environment
- Result
- Substantiated
- Rule(s) Violated
-
External site: 411-054-0025(4)
- Findings
- Based on observation and interview, conducted during a site visit on 06/25/25 and 06/26/25, the facility's failure to exercise reasonable precautions against any conditions that may threaten the health, safety, or welfare of residents was substantiated. That placed residents at risk and constituted an immediate threat to residents' health and safety. Findings include, but are not limited to: On 06/24/25, the Department received a Report of a Serious Event in which Resident 1 had eloped from the facility through an exterior courtyard door. The facility was a memory care and had the following five distinct and separate neighborhoods: Mount Scott; Happy Valley; Milwaukie; West Linn; and Oregon City. In an interview, Staff 2 (Assistant Executive Director) stated the following: Resident 1 resided in the Mount Scott neighborhood; Resident 1 recently eloped from the facility through an exterior courtyard door; and Staff 2 believed landscapers did not secure the door prior to leaving on the day of the incident. The following observations of the Mount Scott neighborhood exterior courtyard doors were made on 06/25/25 at approximately 9:49 am: The south exterior courtyard door was unlocked and opened by Staff 2; The Compliance Specialist attempted to close the door, but the magnet lock did not engage; and Staff 2 was able to secure the door only after grabbing the top of the door and slamming it shut with immense force. Observations at approximately 3:45 pm: The north exterior courtyard door was unlocked and opened by Staff 3 (Maintenance); The door caught on the pavement below, preventing it from swinging shut; The south exterior courtyard door was unlocked and opened by Staff 3; The Compliance Specialist attempted to close the door, but the magnet lock did not engage; and Repeated attempts by Staff 3 and the Compliance Specialist to secure the door were unsuccessful until the door was slammed shut with immense force, and the magnet lock finally engaged. In an observation on 06/26/25, at approximately 7:28 pm, the following occurred: The south exterior door was ajar; The Compliance Specialist attempted to close the door, but the door and gate magnets were not aligned and could not connect; and The door required lifting by the Compliance Specialist to connect and engage the magnets to lock and secure the door. In an interview on 06/26/25, Staff 4 (Caregiver) s/he did not know the exterior courtyard door was not secured or having problems. In an interview on 06/26/25, Staff 2 stated s/he was unaware the exterior courtyard door was opened, but that they were onsite with Staff 3 to repair the courtyard door to prevent further incident. In an observation on 06/26/25, Staff 3 and the Compliance Specialist tested the exterior courtyard door after repairs and the magnet lock engaged successfully. The facility's failure to exercise reasonable precautions against any conditions that may threaten the health, safety, or welfare of residents was substantiated.