Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

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Print Violation: 00393120-AP-343749

Provider Information


The Pines at The Canopy -

9860 NW CORNELL RD
Portland, OR 97229

Provider ID
50R469
Administrator
Serafina Counts
Phone
(503) 292-9222
Email
scounts@thecanopysl.com

Violation Details


Date
4/2/2025
Report number
00393120-AP-343749
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
Result
Substantiated
Findings
The Alleged Victim (AV) relies on the facility for his/her care. Witness 1 (W1) has a history of resident-to-resident altercations and the service plan documented a history of recent physically aggressive behaviors. W1's service plan did not include effective interventions for staff to provide when W1 was having aggressive behaviors. According to an investigation, on or about April 02, 2025, AV was heard yelling and was found on the floor after W1 reportedly threw AV to the floor, resulting in a skin tear to AV's elbow. The facility failed to properly address resident behaviors, which is a violation of resident’s rights, is neglect of care and constitutes abuse.
Sanction
RCFCP25-01076 $375.00 fine assessed