Print Violation: 00400541-AP-351403

Provider Information

Jefferson Lodge Memory Care Community

664 SE JEFFERSON ST
Dallas, OR 97338

Date: 5/8/2025
Report number: 00400541-AP-351403
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) is care planned to be checked for safety between 3-5 times per shift during the night, as well as have a light on during the night. AV is a 2-3 person transfer. There is no documentation regarding the last item AV was checked for safety. On or about May 8, 2025, AV was found on the floor next to his/her bed. AV suffered a skin tear during the fall. The facility failed to follow the care plan, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP25-00846 $188.00 fine assessed