Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00102131-AP-078084
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
- 9/11/2020
- Report number
- 00102131-AP-078084
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to follow care plan
- 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
- The facility failed to follow Alleged Victim's (AV) care plan resulting in AV suffering a fall with injury. The facility's failure to follow AV's care plan is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP21-01916 $188.00 fine assessed