Print Violation: 00349737-AP-300133A

Provider Information

Country Meadows Village

155 S EVERGREEN
Woodburn, OR 97071

Date: 8/14/2024
Report number: 00349737-AP-300133A
Type: Licensing Violation
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide service
Result: Substantiated
Rule(s) Violated: External site: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)
Findings: Alleged Victim (AV) relies on the facility for his/her care. During night shift on or about August 14, 2024, Alleged Perpetrator 2 (AP2) took AV’s pendant off AV’s nightstand and placed the pendant in another room in the corner of AV’s kitchen, turned the lights off and slammed AV’s apartment door shut. During shift change at around 6:20am, AV was having anxiety and called staff to ask for help searching for his/her pendant. Staff went into AV’s room and the lights were off. AV was standing by the counter tops searching for AV’s pendant. AP2 failed to provide appropriate service to AV by removing and keeping his/her pendant away from AV’s reach, which is a neglect of care and constitutes abuse. The facility failed to assure AV received appropriate service, which is a violation of Oregon Administrative Rules.