Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00213888-AP-173191
Provider Information
Jefferson Lodge Memory Care Community
664 SE JEFFERSON ST
Dallas, OR 97338
- Provider ID
- 50M065
- Administrator
- Bryan Rees
- Phone
- (503) 623-8104
- bryanr@cascadeliving.com
Violation Details
- Date
- 8/3/2022
- Report number
- 00213888-AP-173191
- 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: 411-054-0036(2)(g)
- Findings
- Alleged Victim (AV) relies on the facility for a safe environment. Witness 1 (W1) has history of aggressive behaviors. On or about August 03,2022, Witness 1 (W1) struck AV with pillows, and struck AV on the right side of h/h head leaving a lump. The facility failed to adjust the service plan for W1 leading to continued aggressive behavior. Facility failed to provide a safe environment for AV, which is a violation of resident rights, is neglect of care and constitutes abuse.
- Sanction
- RCFCP22-01521 $188.00 fine assessed