Print Violation: 00345730-AP-296195

Provider Information

Jefferson Lodge Memory Care Community

664 SE JEFFERSON ST
Dallas, OR 97338

Date: 7/30/2024
Report number: 00345730-AP-296195
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to properly plan care
Result: Substantiated
Rule(s) Violated: External site: 411-054-0025(1)(a) and (b)
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 Alleged Victim (AV) and Witness #1 (W1) have a history of altercations and both have interventions in place to reduce altercations. On or about July 30, 2024, AV and W1 engaged in an altercation where the two were squeezing and shaking each other. W1 was on one to one care at the time of the altercation, however, W1's one to one staff was not near W1 and was assisting another staff within line of sight. AV received scratches during the altercation. The facility failed to provide a safe environment for AV by not following W1's service plan. The facility's failure is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP24-01054 $375.00 fine assessed