Violation Details: CALMS - 00081879

Date
5/7/2025
Report number
CALMS - 00081879
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide oversight and monitoring of change of condition
Result
Substantiated
Findings
The facility failed to evaluate the resident, refer to the facility nurse, monitor, or document the change when the resident experienced a significant change of condition in accordance with OAR 411-054-0040 (1)(c) per a report of a serious event, which is a violation of Oregon Administrative Rules.