Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00016349AP-011666
Provider Information
Jefferson Lodge Memory Care Community
664 SE JEFFERSON ST
Dallas, OR 97338
- Provider ID
- 50M065
- Administrator
- Bryan Rees
- Phone
- (503) 623-8104
- bryanr@cascadeliving.com
Violation Details
- Date
- 1/28/2019
- Report number
- 00016349AP-011666
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to properly plan care
- Result
- Substantiated
- Rule(s) Violated
-
External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
- Findings
- APS assigned due to AP neglecting AV as defined in OAR 4110200002(1)(b)(A)(i)(ii) by failing to provide adequate supervision to keep AV safe resulting in W1 hitting AV causing AV pain.
- Sanction
- RCFCP19-171 $500.00 fine assessed