Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: CALMS - 00034392
Provider Information
Countryside Living Memory Care South
406 NW 2ND AVENUE
Canby, OR 97013
- Provider ID
- 50R380
- Administrator
- STACY ZIMMERMAN
- Phone
- (503) 266-3031
- ed@countrysidelivingcanby.com
Violation Details
- Date
- 11/17/2022
- Report number
- CALMS - 00034392
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to submit timely or adequate staffing documentation
- Result
- Substantiated
- Rule(s) Violated
-
External site: 411-061-0010(2)
- Findings
- Withdrawn 12/2/22: On or about November 1, 2022, the Oregon Health Authority reported to the Department that Respondent failed to comply with weekly reporting requirements of vaccinated individuals, residents and staff, to the proper authority as required by law. This failure has been ongoing for a total of 30 days”.
- Sanction
- RCFCP22-01682 $0.00 fine assessed