Print Violation: 00314451-AP-266761

Provider Information

Jefferson Lodge Memory Care Community

664 SE JEFFERSON ST
Dallas, OR 97338

Date: 2/20/2024
Report number: 00314451-AP-266761
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious 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: On February 21, 2024, Witness 1 (W1) and Alleged Victim (AV) got into physical altercation in which AV dug his/her nails into W1's left hand resulting in multiple skin tears. W1 then shoved AV which resulted in both residents falling to the ground. AV was taken to the hospital for treatment after this incident and was diagnosed with a fracture of his/her upper left arm. Based on facility documentation and interviews, AV and W1 have a history of altercations with each other, and AV is care planned to be redirected away from W1 due to their history of aggressive behavior towards each other. The facility failed to follow AV's care plan by not keeping AV and W1 separated which resulted in physical harm to AV which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP24-00508 $1125.00 fine assessed