Print Violation: 00441671-AP-394536

Provider Information

Cedarbrook Place Senior Living

721 NE 27TH ST
Mcminnville, OR 97128

Date: 11/21/2025
Report number: 00441671-AP-394536
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), 411-054-0027(1)(g) and (s), 411-054-0028(2)
External site: 411-054-0036(2)(g), 411-054-0040(1)(d)(A) and (B)
Findings: The Alleged Victim (AV) is dependent on the facility to meet his/her safety needs and has a history of falls. According to an investigation, between October 17, 2025, and November 18, 2025, AV had more than 8 falls. AV experienced multiple falls before new interventions were put in place. The facility failed to timely develop fall interventions to address AV’s fall risk, resulting in injury and bruising. The facility failed to properly plan care for AV, which is a violation of resident rights, is considered neglect of care which constitutes abuse.
Sanction: ALFCP26-00158 $500.00 fine assessed