Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

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Print Violation: 00208675-AP-168584

Provider Information


Countryside Living Memory Care

390 NW 2ND AVE
Canby, OR 97013

Provider ID
50R283
Administrator
STACY ZIMMERMAN
Phone
(503) 266-3031
Email
ed@countrysidelivingcanby.com

Violation Details


Date
7/6/2022
Report number
00208675-AP-168584
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
Result
Substantiated
Findings
The facility failed to implement interventions and appropriately monitor Witness 1 according to his/her known behavior and prior altercations. The failure resulted in a physical altercation and causing unreasonable discomfort to the Alleged Victim (AV), which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction
RCFCP22-01318 $188.00 fine assessed