Regulatory Action Details: CALMS - 00115079

Effective date
7/10/2026
End date
Reference number
CALMS - 00115079
Allegation
Failed to provide service
Description
The facility failed to have qualified awake direct care staff, sufficient in number to meet the 24-hour scheduled and unscheduled needs of each resident to include supervision and support in accordance with OAR 411-054-0070(1). Per complainant, resident exited RCF unit into a stairwell and fell down the stairs and sustained injuries on 06/12/26.
Rule(s) Violated
411-054-0070(1)
Findings
Facility failed to protect resident from fall with injury
Sanction
RCFCD26-00642