Print Violation: 00408173-AP-359210

Provider Information

The Rawlin at Riverbend

3491 GAME FARM ROAD
Springfield, OR 97477

Date: 6/15/2025
Report number: 00408173-AP-359210
Type: Licensing Violation
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide safe environment
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: 411-054-0030(1)(e)(H) and (I)
External site: 411-054-0200(11)(b) and (c)
Findings: Alleged Victim (AV) is a resident of a locked memory care facility. AV experiences significant cognitive impairment and relies on AP1 to manage AV's daily care needs. AV does not have a history on wandering. On or about June 15, 2025, AV was found by staff standing next to the dumpsters outside of AP1 after lunch time. It was determined that the gate was not fully latched, and the gate alarms were turned off. AV was placed on alert, a TSP was implemented, and AV's family was notified. AV sustained no injury and was last seen five minutes prior to the elopement. The facility failed to provide a safe environment, which is a violation of Oregon Administrative Rules.