Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

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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
Email
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
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