Print Violation: 00481851-AP-434424

Provider Information

Timber Town Living

1116 W CENTRAL AVENUE
Sutherlin, OR 97479

Date: 6/6/2026
Report number: 00481851-AP-434424
Type: Licensing Violation
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to follow care plan
Result: Substantiated
Rule(s) Violated: 411-054-0027(1)(g) and (s)
411-054-0028(2)
411-054-0036(2)(g)
Findings: Alleged Victim (AV) is a two person assist. On or about June 6, 2026, AV sustained a fall in his/her room. AV said, “Alleged Perpetrator 2 (AP2) was rolling me and AP2 put me to close to the edge.” AP2 moved AV to the left side of the bed and rolled AV onto AV’s left side so AP2 could apply barrier cream to AV’s buttocks. When AP2 got to the right side of the bed, AV rolled and fell off the left side of the bed onto the ground. As a result of the fall, AV sustained a fracture on AV’s right arm. AP2 failed to follow the care plan, which is neglect of care and constitutes abuse. The facility failed to ensure AV’s care plan was being followed, which is a violation of Oregon Administrative Rules.