Print Violation: 00221544-AP-180281

Provider Information

Jefferson Lodge Memory Care Community

664 SE JEFFERSON ST
Dallas, OR 97338

Date: 9/16/2022
Report number: 00221544-AP-180281
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: Witness 1 (W1) has a history of agitation and aggressive behaviors with other residents. W1 has been involved in approximately nine (9) resident-to-resident altercations between August 03, 2022, and September 16, 2022. On or about September 16, 2022, W1 grabbed Alleged Victim (AV) walker, stomped on AV’s foot and shoved AV to the ground, causing AV emotional distress. The facility failed to appropriately adjust W1 care plan and implement reasonable interventions to address W1s continued aggressive behaviors, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP22-01845 $375.00 fine assessed