Print Violation: 00424509-AP-376050

Provider Information

The Arbor at Avamere Court

450 CLAGGETT COURT N
Keizer, OR 97303

Date: 9/1/2025
Report number: 00424509-AP-376050
Type: Abuse: Neglect
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: 411-054-0028(2)
External site: 411-054-0030(1)(e)(I)
External site: 411-054-0036(2)(g)
Findings: On or about September 1, 2025, Witness 1 (W1) punched Alleged Victim (AV) in the shoulder when AV did not move as W1 had asked. Based on facility documentation and interviews, W1 has a known history of having altercations with other residents and will have violent outbursts towards other residents without warning. W1 is care planned to be within staff's eyesight when W1 is in common area and if staff are to leave common area, W1 is to be redirected back to his/her room. At time of incident, there were no staff present when W1 was in the hallway when the altercation took place with W1 and AV. The facility failed to appropriately monitor Witness 1 (W1) according to his/her known behavior and prior altercations at time of incident. The failure resulted in a physical altercation and causing unreasonable discomfort to the AV, which is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP25-01142 $500.00 fine assessed