Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

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Print Violation: 00408827-AP-359902

Provider Information


The Pines at The Canopy -

9860 NW CORNELL RD
Portland, OR 97229

Provider ID
50R469
Administrator
Serafina Counts
Phone
(503) 292-9222
Email
scounts@thecanopysl.com

Violation Details


Date
6/19/2025
Report number
00408827-AP-359902
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
Result
Substantiated
Findings
The Alleged Victim (AV) and Witness 1 (W1) rely on the facility for their care. W1 has a history of unprovoked violent verbal and physical behaviors and is known to be agitated after outings. According to an investigation, on or about, June 19, 2025, W1 punched AV in the face and kicked AV, resulting in AV grabbing W1’s left arm and causing a skin tear. The facility failed to provide a safe environment, which is a violation of resident rights, is neglect of care which constitutes abuse.