Violation Details: CALMS - 00115158

Date
5/28/2026
Report number
CALMS - 00115158
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to properly plan care
Result
Substantiated
Rule(s) Violated
411-054-0045 (1)(f)(D)
Findings
Based on interview and record review, the facility failed to ensure when a resident experiences a significant change of condition and the service plan is updated, the licensed nurse must participate on the Service Planning Team, or must review the service plan with date and signature within 48 hours. The facility’s failure is a violation of Oregon Administrative Rules.