Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00234914-AP-192418
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
- 12/4/2022
- Report number
- 00234914-AP-192418
- 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: 411-054-0030(1)(e)(I)
External site: 411-054-0036(2)(g)
- Findings
- The facility failed to implement interventions and appropriately care plan related to Witness 1(W1) known behaviors which resulted in a physical altercation between W1 and Alleged Victim (AV) in which W1 yelled at and slapped AV causing a scratch to AV's arm. The facility's failure to appropriately care plan caused emotional harm and unreasonable discomfort to the AV, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP23-00536 $375.00 fine assessed