Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: 00139516-AP-109906

Provider Information


Stoneybrook Assisted Living

4650 SW HOLLYHOCK CIRCLE
Corvallis, OR 97333

Provider ID
70A274
Administrator
TRAVIS RICE
Phone
(541) 758-2026
Email
travis.rice@sincerisl.com

Violation Details


Date
5/12/2021
Report number
00139516-AP-109906
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
Result
Substantiated
Findings
On or about May 12, 2021, Alleged Perpetrator 2 (AP2) pushed Alleged Victim (AV) in his/her walker in an unsafe manner that is not approved by manufacture. The walker tipped and AV fell which caused pain in AV's shoulder. AP2's actions is considered neglect of care and constitutes abuse. The facility failed to provide a safe environment for AV which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
ALFCP22-00180 $188.00 fine assessed