Print Violation: 00460306-AP-412587

Provider Information

Arbor Oaks Terrace Memory Care Residence

317 N. WERTH BLVD
Newberg, OR 97132

Date: 2/26/2026
Report number: 00460306-AP-412587
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: On or about February 26, 2026, the Alleged Victim (AV) was found on the floor of his/her room. It is unknown how long AV was on the floor at the time of being found. AV was a known fall risk and was to have safety checks four times per shift, however, the facility was short staffed, and AV did not get checked on as care planned. AV suffered an abrasion and pain to his/her forehead. Respondent failed to ensure staff followed the care plan, ensuring AV's safety from falls. This constitutes abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(i).
Sanction: RCFCP26-00563 $375.00 fine assessed