Violation Details: CALMS - 00109255

Date
5/1/2026
Report number
CALMS - 00109255
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
411-054-0040(2)(a)
Findings
The facility failed to ensure to monitor 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 was on hourly and or 90 minute safety checks. Resident was not checked on from 9:20pm to 11:40pm, which is a violation of Oregon Administrative Rules.