Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00396888-AP-347564
Provider Information
Avamere Living at Newberg
730 FOOTHILLS DRIVE
Newberg, OR 97132
- Provider ID
- 70M208
- Administrator
- Kelci Mauser
- Phone
- (503) 554-0767
- kmauser@avamerecommunities.com
Violation Details
- Date
- 4/19/2025
- Report number
- 00396888-AP-347564
- 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: 411-054-0025(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
- On or about April 18, 2025, at approximately 11:15 PM, Alleged Victim (AV) fell in his/her room and was not found until 7:45 AM the following day. AV is care planned to have one safety check each shift due to AV's risk for falls. AV was able to keep track of the time as he/she has a clock that sits near his/her television. Based on facility documentation and interviews, AV was documented to have received his/her safety check on April 19, 2025, at 2:12AM by Alleged Perpetrator 2 (AP2). Facility documentation shows AP2 did not complete AV's safety check as documented due to AP2 being on his/her meal break at time of incident and was not in the facility. AP2 failed to follow AV's care plan for scheduled safety checks, resulting in AV laying on the floor in his/her room after a fall from 11:15 PM to 7:15 AM causing AV to have pain on the right side of his/her body. AP2's actions is considered neglect of care which constitutes abuse. The facility failed to provide adequate oversight of AP2, resulting in AV laying on the floor of h/h room from 11:15 PM to 7:45 AM causing AV to have pain on the right side of h/h body. The facility's failure to provide a safe environment is a moderate violation of resident rights, is considered neglect of care which constitutes abuse.
- Sanction
- ALFCP25-00406 $1125.00 fine assessed