- Date
- 2/13/2026
- Report number
- CALMS - 00103388
- 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 determine and document what action or intervention if needed for a short term change of condition, resulting in the resident having a fall and being sent to the hospital for evaluation. The facility’s failure is a violation of Oregon Administrative Rules.