Print Violation: 00465606-AP-417954

Provider Information

Arbor Oaks Terrace Memory Care Residence

317 N. WERTH BLVD
Newberg, OR 97132

Date: 3/21/2026
Report number: 00465606-AP-417954
Type: Abuse: Neglect
Level: 3 - Moderate harm or potential for serious harm
Allegation: Failed to provide appropriate staffing
Result: Substantiated
Rule(s) Violated: 411-054-0025(1)(a) and (b)
411-054-0027(1)(g) an (s)
411-054-0028(2)
411-054-0030(1)(e)(A)
411-054-0036(2)(g)
411-054-0070(1)
Findings: On or about March 22, 2026, the Alleged Victim (AV) was found on the floor of his/her room. According to camera footage provided by AV's family, AV fell on March 21, 2026, at approximately 9:00 pm and bruised his/her knee. AV laid on the floor until approximately 8:30 am on March 22, 2026 when he/she was found by staff, causing unreasonable discomfort. AV was not checked on by staff all night. The facility was short staffed and did not have enough staff to cover all residents' needs within the facility. Respondent failed to ensure that enough staff were working in the facility to ensure the needs of all residents were met, causing unreasonable discomfort. This constitutes abuse by neglect, as outlined in OAR 411-020-0002(1)(b)(A)(i).
Sanction: RCFCP26-00691 $1500.00 fine assessed