Print Violation: 00083016-AP-061804

Provider Information

Forest Glen Senior Living

200 SW FRONTAGE RD
Canyonville, OR 97417

Date: 5/7/2020
Report number: 00083016-AP-061804
Type: Licensing Violation
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to provide safe environment
Result: Substantiated
Rule(s) Violated: External site: 411-054-0025(1)(b)
Findings: Alleged Perpetrator 2 (AP2) made inappropriate and offensive verbal comments towards Alleged Victim (AV) in his/her presence. AP2 was observed calling AV a derogatory name and then stating to AV, "you are not my friend anymore". AP2 caused AV emotional harm and is responsible for verbal abuse. The facility failed to protect AV from inappropriate and offensive verbal comments made by staff which is a violation of Oregon Administrative Rules. The allegation that Alleged Perpetrator 3 (AP3) verbally abused AV was investigated and determined no wrongdoing by AP3.