Print Violation: 00418169-AP-369875

Provider Information

Jefferson Lodge Memory Care Community

664 SE JEFFERSON ST
Dallas, OR 97338

Date: 8/3/2025
Report number: 00418169-AP-369875
Type: Licensing Violation
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to use restraint properly
Result: Substantiated
Rule(s) Violated: External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(g)
External site: 411-054-0028(2)
External site: 411-054-0055(1)(a)(g)(h) and (f)
Findings: The Alleged Victim (AV) suffered two falls on August 4, 2025 and was sent to the hospital and was found to have a bruise on his/her buttocks. On or about August 4, 2025, it was discovered that Alleged Perpetrator #2 (AP2) had given AV a sedative to calm him/ her down. AV did not have any as needed medication listed as an intervention. AP2 gave the medication for his/her convenience, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility's failure to ensure medication is not used as a restraint is a violation of Oregon Administrative Rules.