Print Violation: 00431152-AP-382981

Provider Information

Arbor Oaks Terrace Memory Care Residence

317 N. WERTH BLVD
Newberg, OR 97132

Date: 10/7/2025
Report number: 00431152-AP-382981
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to properly plan care
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: 411-054-0036(2)(g)
Findings: The Alleged Victim (AV) moved into the facility on or about October 1, 2025. AV was listed as independent with ambulation and transfers. AV suffered three falls within the first week of being at the facility, two of the falls resulted in injuries to AV's head. On or about October 7, 2025, AV was sitting in the dining room and stood up from the table and fell backwards, hitting his/her head. AV went on to have another fall on October 24, 2025, resulting in another head injury. The facility's failure to ensure person centered interventions and supervision lead to AV having multiple falls, which constitutes neglect by abuse, as outlined in OAR 411-020-0002(1)(b)(A)(i).
Sanction: RCFCP26-00003 $375.00 fine assessed