Violation Details: CALMS - 00104461

Records Request Print
Date
1/1/2026
Report number
CALMS - 00104461
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
Rule(s) Violated
External site: 411-054-0040(1)(a) and (d)(A)(B), and (2)
Findings
The facility allegedly failed to provide oversight and monitoring of change of condition. There was no documented evidence for the short-term change of condition that the facility determined what resident-specific actions or interventions were needed for the resident, communicated the determined actions or interventions to staff, and/or documented weekly progress until the condition resolved prior to Resident 1 being hospitalized for sepsis on 01/01/26. An investigation determined this is a violation of Oregon Administrative Rules.