- Date
- 4/25/2023
- Report number
- OR0004196000
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide safe environment
- Result
- Substantiated
- Findings
- The facility failed to provide qualified awake direct care staff sufficient in number to meet the 24-hour scheduled and unscheduled needs of each resident. Based on facility documentation and interviews, call lights go off for 45-50 minutes resulting in residents' needs not being met in a timely manner. The facility's failure to provide a safe environment is a violation of Oregon Administrative Rules.