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
Rule(s) Violated
411-054-0040 (1)(c)
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.