- Date
- 12/19/2025
- Report number
- CALMS - 00101491
- 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 ensure monitoring for each resident consistent with his or her evaluated needs and service plan in accordance with OAR 411-054-0040(2)(a) per complainant the resident experienced a skin tear on left elbow, and it was not followed up on, which is a violation of Oregon Administrative Rules.