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F0609
D

Failure to Timely Report Alleged Physical Abuse Incident

Portland, Oregon Survey Completed on 08-08-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to report an allegation of physical abuse within the mandated timeframe for one resident. According to the facility's policy, staff are required to report allegations of abuse promptly. On the date in question, a resident entered another resident's room, pushed the resident onto the bed, and then held the door shut from the outside, preventing the resident from leaving. Staff were aware of the incident at 4:00 AM, but the administrator was not informed until approximately 9:30 AM during a morning meeting. The Facility Reported Incident (FRI) was subsequently submitted late to the state agency, as confirmed by the administrator. This delay in reporting did not comply with the facility's abuse prevention policy.

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