Print Violation: 00402156-AP-353066

Provider Information

Arbor Oaks Terrace Memory Care Residence

317 N. WERTH BLVD
Newberg, OR 97132

Date: 5/17/2025
Report number: 00402156-AP-353066
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious 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: 411-054-0030(1)(e)(A) and (H)
External site: 411-054-0036(2)(g)
Findings: The Alleged Victim (AV) is a known fall risk and has suffered falls with significant injury in the past. On or about May 17, 2025, AV had an unwitnessed fall in his/her room, which resulted in a broken finger. At the time of the fall, AV was stand by assist with ambulation with the use of his/her walker or cane. AV was on two hour safety checks and was known to attempt to walk without assistance or use of the walker or cane. The facility's failure to ensure proper interventions were in place to reduce AV's risk of falls is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP25-00808 $1125.00 fine assessed