Print Violation: 00445195-AP-397182

Provider Information

The Arbor at Avamere Court

450 CLAGGETT COURT N
Keizer, OR 97303

Date: 12/12/2025
Report number: 00445195-AP-397182
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious 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 December 19, 2025, ODHS Adult Protective Services (APS) completed investigation #00445195 and issued a written investigation report, which is incorporated here by reference. Alleged Victim (AV) and Witness 1 (W1) both live at Respondent’s facility. On December 12, 2025, the facility failed to adequately monitor and separate W1 and AV despite their known history of resident-to-resident altercations. W1 and AV had multiple conflicts between October 18, 2025, and November 7, 2025, with escalating frequency. During the December 12, incident, AV made a comment as W1 passed in the dining room, prompting W1 to pour coffee on AV. The facility failed to develop sufficient interventions and appropriately monitor W1 and AV to mitigate known risks, resulting in unreasonable discomfort to AV, which is a violation of resident rights, is considered neglect of care which constitutes abuse.
Sanction: RCFCP26-00084 $1500.00 fine assessed