Print Violation: 00403592-AP-354547

Provider Information

Newberry Estates Memory Care Community

1025 NE PURCELL BLVD
Bend, OR 97701

Date: 5/24/2025
Report number: 00403592-AP-354547
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide safe environment
Result: Substantiated
Rule(s) Violated: 411-054-0025(1)(a) and (b)
411-054-0027(1)(g) and (s)
411-054-0028(2)
411-054-0030(1)(e)(I)
411-054-0036(2)(g)
Findings: On December 4, 2025, ODHS Adult Protective Services (APS) completed investigation #00403592 and issued a written investigation report, which is incorporated here by reference. Alleged Victim (AV) and Witness 1 (W1) both live at Respondent’s facility. On May 24, 2025, the facility failed to adequately monitor AV despite his/her known behaviors and recent increase in resident-to-resident altercations. During the May 24 incident, AV attempted to take W1’s food and entered W1’s personal space, which triggered W1 to strike AV. Prior to this event, the facility was aware of escalating behaviors and had a responsibility to implement sufficient interventions and monitoring to mitigate these risks. The failure to do so resulted in unreasonable discomfort to AV, which is a violation of resident rights, is considered neglect of care which constitutes abuse.
Sanction: RCFCP26-00086 $375.00 fine assessed