Print Violation: 00237687-AP-194879

Provider Information

Countryside Living Memory Care

390 NW 2ND AVE
Canby, OR 97013

Date: 12/20/2022
Report number: 00237687-AP-194879
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate 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 on or about December 20, 2022, in which W1 got angry with Alleged Victim (AV), hitting AV repeatedly in the left forearm which resulted in a red mark on AV's left arm, causing unreasonable discomfort to the AV, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP23-00600 $375.00 fine assessed