Violation Details: CALMS - 00120062

Records Request Print Provider Details
Date
7/28/2026
Report number
CALMS - 00120062
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to properly plan care
Result
Substantiated
Rule(s) Violated
411-054-0036(2)(g)
Findings
On or about July 28, 2026, a Licensing Compliant Unit (LCU) Investigation determined the facility did not implement necessary fall interventions or provide adequate supervision despite the Alleged Victim’s (AV) known history of falls. This failure caused AV to suffer multiple unwitnessed falls which is a violation of Oregon Administrative Rules.