Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

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Print Violation: BH164716

Provider Information


Countryside Living Memory Care

390 NW 2ND AVE
Canby, OR 97013

Provider ID
50R283
Administrator
STACY ZIMMERMAN
Phone
(503) 266-3031
Email
ed@countrysidelivingcanby.com

Violation Details


Date
2/14/2016
Report number
BH164716
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
Result
Substantiated
Findings
Facility failed to supervise residents resulting in a resident to resident altercation.