Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00220520-AP-179295
Provider Information
Countryside Living Memory Care South
406 NW 2ND AVENUE
Canby, OR 97013
- Provider ID
- 50R380
- Administrator
- STACY ZIMMERMAN
- Phone
- (503) 266-3031
- ed@countrysidelivingcanby.com
Violation Details
- Date
- 9/12/2022
- Report number
- 00220520-AP-179295
- Type
- Abuse: Neglect
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to properly plan care
- 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
- The facility failed to implement interventions and appropriately care plan related to Alleged Victim's (AV) transfer needs which resulted in AV having several unexplained bruises. The facility's failure to develop and/or maintain a comprehensive care plan to address AV's care needs resulted in unreasonable discomfort which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP22-01768 $188.00 fine assessed