- 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.