Print Violation: 00431874-AP-383952

Provider Information

Compass Rose Memory Care

2690 NE YACHT AVE
Lincoln City, OR 97367

Date: 8/10/2025
Report number: 00431874-AP-383952
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: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)(a) and (b)
External site: 411-054-0036(2)(g)
Findings: Alleged Victim (AV) lives at Respondent’s facility and relies on the facility staff to provide appropriate supervision and care. AV has a history of falls, including two prior incidents that occurred in July 2025, that resulted in EMS transporting AV to the hospital for evaluation. However, the facility failed to develop sufficient interventions to mitigate risk of further falls to AV. On or about August 10, 2025, AV was found on the floor with a skin tear to right skin fold and redness to right knee. AV also complained of hip pain. Respondent failed to develop and implement suitable interventions, which constitutes abuse by neglect.
Sanction: RCFCP26-00142 $250.00 fine assessed