Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

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
Email
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
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