Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00027306AP-019320
Provider Information
Countryside Living Memory Care
390 NW 2ND AVE
Canby, OR 97013
- Provider ID
- 50R283
- Administrator
- STACY ZIMMERMAN
- Phone
- (503) 266-3031
- ed@countrysidelivingcanby.com
Violation Details
- Date
- 4/17/2019
- Report number
- 00027306AP-019320
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide a safe medication administration system
- Result
- Substantiated
- Rule(s) Violated
-
External site: 411-054-0055(1)(a) and (f)
- Findings
- Facility, in not preventing an altercation involving AV, actively or passively failed to provide the basic care or services necessary to maintain the health and safety of an adult, when that failure results in physical harm, significant emotional harm, unreasonable discomfort, or serious loss of personal dignity to the adult, as defined on OAR 4110200002 (1) (b) (A) (i).