- Date
- 9/10/2025
- Report number
- CALMS - 00093360
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide safe environment
- Result
- Substantiated
- Findings
- The facility failed to develop, maintain, and implement an acuity-based staffing tool in accordance with OAR 411-054-0037(1-7). Per complainant, If I’m doing a med pass and they are helping someone who is a two person assist there is no one on the floor.