Print Violation: 00422403-AP-373848

Provider Information

Willow Creek Assisted Living

175 NE 16TH STREET
Madras, OR 97741

Date: 8/25/2025
Report number: 00422403-AP-373848
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide service
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: The Alleged Victim (AV) relies on the facility for his/her care and has a history of cognitive decline despite only being in the facility for approximately one month. On or about August 25, 2025, AV was observed leaving the facility around 2:00 am. AV then walked to the middle of the street and to a nearby facility and started banging on the windows. Police found AV laying in the middle of the road and brought AV back to the facility. The facility failed to provide services, to include implementing interventions for AV's observed cognitive decline and provide a safe environment for AV, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: ALFCP25-01091 $375.00 fine assessed