Print Violation: 00455302-AP-407443

Provider Information

Arbor Oaks Terrace Memory Care Residence

317 N. WERTH BLVD
Newberg, OR 97132

Date: 1/26/2026
Report number: 00455302-AP-407443
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)
External site: 411-054-0027(1)(g) and (s)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings: The Alleged Victim (AV) was a known fall risk and had suffered falls recently. On or about January 26, 2026, AV suffered a fall while getting out of bed to close his/her door. AV is known to transfer without asking for assistance, although interventions in place are to remind AV to request assistance. Two hour safety checks were in place, however, this intervention is not adequate, as AV continues to fall, placing AV at risk for harm. Respondent failed to ensure new interventions were created to ensure AV's safety from falls. This constitutes abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(ii).
Sanction: RCFCP26-00515 $500.00 fine assessed