Print Regulatory Action: CO19688

Provider Information

Prestige Senior Living Five Rivers

3500 12TH STREET
Tillamook, OR 97141

Effective date: 12/10/2019
End date: 2/26/2020
Reference number: CO19688
Allegation: Failed to provide safe environment
Description: The facility relicensure survey (#QROR11) conducted on December 4, 2019, concluded that the Facility's failure to comply with the Oregon Administrative Rules in the areas of but not limited to: Resident Rights and Protection, Abuse Reporting and Investigation, Resident Services: ADLs, Service Plans, Change of condition and Monitoring, Resident Health Services, RN Delegation and Teaching, Medication Administration, and Environmental concerns which constitutes a threat to the health, safety and welfare of its residents.
Rule(s) Violated: External site: 411-054-0027(1)
External site: 411-054-0028(1-3)
External site: 411-054-0030(1)(e-g)
External site: 411-054-0036(1-4)
External site: 411-054-0036(5)
External site: 411-054-0040
External site: 411-054-0045(1)(a-f), (A), (C-F)
External site: 411-054-0045(1)(B)
External site: 411-054-0045(2)
External site: 411-054-0055(2)
External site: 411-054-0300(1)
External site: 411-054-0300(4)
External site: 411-054-0300(7)
Findings: Exposed to Potential Harm
Sanction: ALFCD19-004