Print Violation: 00110131-AP-084692

Provider Information

The Arbor at Avamere Court

450 CLAGGETT COURT N
Keizer, OR 97303

Date: 10/31/2020
Report number: 00110131-AP-084692
Type: Licensing Violation
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: 411-054-0030(1)(e)(I)
External site: 411-054-0036(2)(g)
Findings: Witness 1 (W1) has a known history of crawling or putting his/her self on the ground and is care planned for staff to attempt to assist his/her to sit in a chair, lay in bed or lay on the love seat in the activity room when doing so. On or about October 31, 2020, W1 was sitting on the floor and was in the path of Alleged Victim AV). AV stepped over W1 and W1 hit AV, AV hit W1 back. Neither resident showed any signs of adverse effect from the altercation. The facility failed to follow the care plan which is a violation of Oregon Administrative Rules.