Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: 00135390-AP-106296

Provider Information


Jefferson Lodge Memory Care Community

664 SE JEFFERSON ST
Dallas, OR 97338

Provider ID
50M065
Administrator
Bryan Rees
Phone
(503) 623-8104
Email
bryanr@cascadeliving.com

Violation Details


Date
4/18/2021
Report number
00135390-AP-106296
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
Result
Substantiated
Findings
On or about April 18, 2021, Alleged Perpetrator 2 (AP2) grabbed onto Alleged Victim's (AV) left wrist and held him/her down when AV became combative while refusing care which resulted in AV getting a quarter size bruise on the top of his/her left wrist. AP2's actions is considered physical abuse. The facility failed to provide a safe environment for AV which is a violation of Oregon Administrative Rules.