Print Violation: 00431964-AP-383792

Provider Information

Compass Rose Memory Care

2690 NE YACHT AVE
Lincoln City, OR 97367

Date: 9/6/2025
Report number: 00431964-AP-383792
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)
External site: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)(a) and (b)
External site: 411-054-0030(1)(e)
External site: 411-054-0036(2)(g)
Findings: Alleged Victim (AV) resides in the Respondent’s facility and depends on the facility staff to provide appropriate supervision and care. AV has a documented history of falls, including a fall on September 3, 2025. According to AV’s service plan, AV requires standby assistance with bathing, dressing, toileting, transfers, and supervision with ambulation. Despite this, the respondent failed to develop adequate interventions to mitigate AV’s ongoing fall risk. On or about September 6, 2025, AV fell and made contact with the closet door reopening a skin tear. The Respondent failed to develop and implement appropriate interventions to address AV’s continued fall risk. This failure constitutes abuse by neglect.
Sanction: RCFCP26-00379 $500.00 fine assessed