Print Violation: 00255242-AP-210753

Provider Information

Forest Glen Senior Living

200 SW FRONTAGE RD
Canyonville, OR 97417

Date: 3/31/2023
Report number: 00255242-AP-210753
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(I)(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, causing unreasonable discomfort to the Alleged Victim (AV), which is a violation of resident rights, is considered neglect of care and constitutes abuse. Due to the facility being closed, a civil penalty will not be issued.