Print Violation: 00397691-AP-348355

Provider Information

Friendsview Retirement Community

1301 E FULTON ST
Newberg, OR 97132

Date: 4/27/2025
Report number: 00397691-AP-348355
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to follow care plan
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: The Alleged Victim (AV) relies on the facility for care and is a fall risk. AV is care planned to have a motion mat/alarm in place, and staff are to move the mat from the bed to the wheelchair and back again depending on where AV is. On or about April 27, 2025, AV had an unwitnessed fall out of bed, resulting in latent bruises to the left hand and forearm. According to an investigation, AV's motion mat was left in the wheelchair and was not in place under the AV in bed per the care plan. The facility failed to follow the care plan, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP25-01476 $375.00 fine assessed