Print Violation: 00438257-AP-390068

Provider Information

The Arbor at Avamere Court

450 CLAGGETT COURT N
Keizer, OR 97303

Date: 11/9/2025
Report number: 00438257-AP-390068
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 November 9, 2025, Alleged Victim (AV) and Witness 1 (W1) were involved in a resident-to-resident altercation during which W1 struck AV in the face, resulting in a visible red mark. Facility documentation and staff interviews indicate that W1 has a history of behavioral incidents and is care-planned to receive appropriate supervision when in proximity to other residents. At the time of the incident, both AV and W1 were in the dining room without the required level of supervision to mitigate known safety risks. The facility’s failure to adequately supervise W1 and intervene to prevent the altercation resulted in unreasonable discomfort and physical harm to AV which is a violation of resident rights is considered neglect of care which constitutes abuse.
Sanction: RCFCP26-00227 $375.00 fine assessed