Print Violation: 00396681-AP-347341

Provider Information

Cedarbrook Place Memory Care

721 NE 27TH ST
Mcminnville, OR 97128

Date: 4/19/2025
Report number: 00396681-AP-347341
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: 411-054-0036(2)(g)
Findings: According to the documentation, the facility failed to properly care plan appropriate interventions for Witness 1’s (W1) aggressive behavior towards the Alleged Victim (AV). On or about April 18, 2025, the AV wandered into W1’s room. The AV exited and W1 followed them out and started slapping the AV. On or about April 19, 2025, W1 came out of their room, saw the AV in the dining room and started yelling and hitting the AV. After the incident on or about April 18, 2025, there were no documented interventions to prevent further resident to resident altercations between the AV and W1, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP25-00601 $188.00 fine assessed