Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00215302-AP-174551
Provider Information
Countryside Living Memory Care
390 NW 2ND AVE
Canby, OR 97013
- Provider ID
- 50R283
- Administrator
- STACY ZIMMERMAN
- Phone
- (503) 266-3031
- ed@countrysidelivingcanby.com
Violation Details
- Date
- 8/10/2022
- Report number
- 00215302-AP-174551
- 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: 411-054-0030(1)(e)(I)
External site: 411-054-0036(2)(g)
- Findings
- The facility failed to implement interventions and appropriately monitor Witness 1 (W1) after a resident-to-resident altercation with Alleged Victim (AV) which resulted in a second, same day altercation between W1 and Alleged Victim (AV), causing injuries to AV's face and hand which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP23-00028 $375.00 fine assessed