Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00303415-AP-256426
Provider Information
Jefferson Lodge Memory Care Community
664 SE JEFFERSON ST
Dallas, OR 97338
- Provider ID
- 50M065
- Administrator
- Bryan Rees
- Phone
- (503) 623-8104
- bryanr@cascadeliving.com
Violation Details
- Date
- 12/5/2023
- Report number
- 00303415-AP-256426
- 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. On or about December 5, 2023, W1 became agitated when he/she saw Alleged Victim (AV) and pushed AV into his/her room causing AV unreasonable discomfort. W1 is known to become agitated without warning. The facility's failure to protect AV from W1's aggressive behavior resulted in a physical altercation which is a violation of resident rights, is considered neglect of care and constitutes abuse.
- Sanction
- RCFCP24-00294 $375.00 fine assessed