Print Violation: 00399668-AP-350435

Provider Information

New Friends of Coos Bay

955 KENTUCKY AVE
Coos Bay, OR 97420

Date: 5/5/2025
Report number: 00399668-AP-350435
Type: Licensing Violation
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), 411-054-0027(1)(g) and (s), 411-054-0028(2), 411-054-0036(2)(g)
Findings: The Alleged Victim (AV) relies on the facility to meet his/her daily needs. According to an investigation, on or about May 3, 2025, the Alleged Perpetrator 2 (AP2) failed to follow the care plan when he/she did not ensure care staff seated AV and W1 at least arm's length away from each other, resulting in AV experiencing unreasonable discomfort and being grabbed. AP2's actions are considered neglect and constitutes abuse. The facility failed to ensure the service plan was followed, which violates Oregon Administrative Rules.