- Date
- 4/28/2026
- Report number
- CALMS - 00118923
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to properly plan care
- Result
- Substantiated
- Findings
- The facility failed to ensure the implementation of services in accordance with OAR 411-054-0036 (2)(g). Per complainant, Resident 1 was pushed by Resident 3 and had a fall that resulted in full hip replacement, which is a violation of Oregon Administrative Rules.