- Date
- 5/7/2025
- Report number
- CALMS - 00081878
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to properly plan care
- Result
- Substantiated
- Findings
- The facility failed to ensure management or licensed nurse was notified of the services provided by the outside provider to ensure that staff are informed of new interventions, that the service plan is adjusted if necessary, and reporting protocols are in place in accordance with OAR 411-054-0045 (2)(a)(A) per a report of a serious event, which is a violation of Oregon Administrative Rules.