- Date
- 3/3/2026
- Report number
- CALMS - 00106058
- 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 allegedly failed to provide required oversight and monitoring. There was no documented evidence that the facility completed the required hourly safety checks as specified in the temporary service plans dated 02/26/26 and 02/28/26 following the resident’s fall with injury. The facility failed to monitor the Alleged Victim in accordance with his or her evaluated needs and service plan. The investigation determined this constitutes a violation of Oregon Administrative Rules.