Print Violation: 00448553-AP-400602

Provider Information

Rn Villa Senior Care

401 NE 139TH AVENUE
Portland, OR 97230

Date: 1/5/2026
Report number: 00448553-AP-400602
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide oversight and monitoring of change of condition
Result: Substantiated
Rule(s) Violated: 411-054-0025 (1)(a) and (b)
411-054-0027 (1)(g) and (s)
411-054-0028 (2)
411-054-0040 (1)(b)(c)(2)(a)
Findings: The Alleged Victim (AV) relies on the facility to manage their medications. According to an investigation, the AV's medications were not ordered timely resulting in the AV missing three doses of the medication. The missed doses resulted in side effects and discomfort for the AV. The AV did not have The AV was not monitored when their condition changed after not receiving their medications. The allegation that Alleged Perpetrator 2 (AP2) and Alleged Perpetrator 3 (AP3) neglected the AV by failing to initiate. monitoring was found not substantiated for AP2 and inconclusive for AP3. The facility failed to ensure the AV was monitored when their condition changed, which is a violation of resident’s rights, is neglect of care, and constitutes abuse.
Sanction: RCFCP26-00620 $250.00 fine assessed