Print Violation: 00322060-AP-273819

Provider Information

Countryside Living Memory Care

390 NW 2ND AVE
Canby, OR 97013

Date: 3/30/2024
Report number: 00322060-AP-273819
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)(g) and (s)
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 between W1 and Alleged Victim (AV) in which W1 went into AV's room and choked AV, AV responded to W1's assault by hitting W1 in the head with a cane. W1 then punched AV in the mouth and causing unreasonable discomfort to the Alleged Victim, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP24-00857 $375.00 fine assessed