Print Violation: 00432358-AP-384203

Provider Information

Bonaventure of Keizer Memory Care

5525 MCLEOD LANE NE
Keizer, OR 97303

Date: 10/13/2025
Report number: 00432358-AP-384203
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide service
Result: Substantiated
Rule(s) Violated: External site: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)
Findings: Alleged Victim (AV) relies on the facility for his/her care needs. On or about October 13, 2025, AV cut AV's foot when he/she was not using his/her motorized powerchair safely in his/her room. As a result, AV required stitches to his/her foot. Respondent failed to assist with supervision for AV to safely use his/her powerchair, leading to physical harm by AV cutting AV's foot and requiring stitches, and failed ensure the safety of AV. This constitutes abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(i). The facility’s failure is a violation of the following OARs:
Sanction: RCFCP26-00249 $188.00 fine assessed