Print Violation: 00453476-AP-405560

Provider Information

Pine Rose

475 S SHASTA PL
Burns, OR 97720

Date: 1/24/2026
Report number: 00453476-AP-405560
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to follow care plan
Result: Substantiated
Rule(s) Violated: 411-054-0025(1)(a) and (b), 411-054-0027(1)(g) and (s), 411-054-0028(2), 411-054-0036(2)(g)
Findings: The Alleged Victim (AV) relies on the facility for care and services. According to an investigation, facility staff heard a thump and found AV had suffered a fall. AV's care plan calls for AV to have a bed alarm, but the alarm did not sound because the batteries needed replaced. The facility failed to follow the care plan by ensuring the interventions were functioning properly, which is a violation of resident rights, is neglect of care which constitutes abuse.
Sanction: RCFCP26-00484 $188.00 fine assessed