Violation Details: CALMS - 00104408

Date
2/2/2026
Report number
CALMS - 00104408
Type
Licensing Violation
Level
4 - Serious harm, death, imminent danger or chronic regulatory noncompliance
Allegation
Failed to provide oversight and monitoring of change of condition
Result
Substantiated
Rule(s) Violated
411-054-0025(4)
Findings
Based on observation, interview, and record review conducted during a site visit on 02/12/26-02/13/26, the facility’s failure to take reasonable precautions against any condition that might have threatened the health, safety, or welfare of residents was substantiated. The facility’s failure to prevent physical contact between Residents constituted an immediate threat to resident's health and safety, which is a violation of Oregon Administrative Rules.