Print Violation: 00107051-AP-081904

Provider Information

Jefferson Lodge Memory Care Community

664 SE JEFFERSON ST
Dallas, OR 97338

Date: 10/9/2020
Report number: 00107051-AP-081904
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide safe environment
Result: Substantiated
Rule(s) Violated: External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0030(1)(e)(I)
External site: 411-054-0036(2)(g)
Findings: On or about October 9, 2020, Alleged Victim (AV) and Witness 1 (W1) had an altercation that resulted in AV crying and being fearful of W1. An investigation determined that W1 has a history of making threats and being hostile to other residents. The facility failed to put interventions in place after W1 made threats to AV and prior to incident. The facility's failure to provide a safe environment for AV is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP21-01890 $375.00 fine assessed