Print Violation: 00441108-AP-393018

Provider Information

The Arbor at Avamere Court

450 CLAGGETT COURT N
Keizer, OR 97303

Date: 11/22/2025
Report number: 00441108-AP-393018
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 facility failed to implement effective interventions and provide appropriate supervision despite the Alleged Victim’s (AV) known history of falls. AV experienced multiple falls over a two-day period, including one fall on November 21, 2025, and two additional falls on November 22, 2025. During one of these incidents, AV sustained a bump to the left side of the forehead after striking the ground. The lack of appropriate oversight and failure to implement necessary fall-prevention measures resulted in avoidable injury and unreasonable discomfort to AV. The facility's failure to properly care plan for AV's fall risk is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP26-00360 $375.00 fine assessed