Violation Details: CALMS - 00095924

Date
11/18/2025
Report number
CALMS - 00095924
Type
Licensing Violation
Level
4 - Serious harm, death, imminent danger or chronic regulatory noncompliance
Allegation
Failed to provide medical treatment as ordered
Result
Substantiated
Findings
Based on observation, interview and record review, the facility failed to ensure medication and treatment orders were carried out as prescribed was substantiated for modified diet textures. This placed residents at risk of aspiration. The facility’s failure is a violation of Oregon Administrative Rules.