Print Violation: 00230865-AP-188774

Provider Information

Countryside Living Memory Care

390 NW 2ND AVE
Canby, OR 97013

Date: 11/7/2022
Report number: 00230865-AP-188774
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious 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) according to his/her known behavior and prior altercations. The failure resulted in a physical altercation in which W1 hit Alleged Victim (AV) in the head with a coffee mug causing AV's head to bleed. The facility's failure to provide a safe environment is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP23-00240 $1125.00 fine assessed