Print Violation: 00450784-AP-402782

Provider Information

Jefferson Lodge Memory Care Community

664 SE JEFFERSON ST
Dallas, OR 97338

Date: 1/12/2026
Report number: 00450784-AP-402782
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)
Findings: Witness #1 (W1) has a history of initiating altercations and targeting the Alleged Victim (AV). The facility has put some interventions in place to reduce the number of altercations, however, W1 will watch staff and wait until their backs are turned to initiate an altercation. On or about January 12, 2026, AV was kneeling on the floor near W1's room and W1 pushed AV down. AV was not harmed, however, AV was placed at risk for harm. Respondent failed to ensure staff supervision of W1 to ensure the safety of residents. This constitutes abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(ii).
Sanction: RCFCP26-00425 $375.00 fine assessed