Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: CALMS - 00086875
Provider Information
Avamere Living at Newberg
730 FOOTHILLS DRIVE
Newberg, OR 97132
- Provider ID
- 70M208
- Administrator
- Kelci Mauser
- Phone
- (503) 554-0767
- kmauser@avamerecommunities.com
Violation Details
- Date
- 8/13/2025
- Report number
- CALMS - 00086875
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to properly plan care
- Result
- Substantiated
- Findings
- Based on interview and record review, conducted during site visits on 08/18/25 and 08/20/25, the facility’s failure to ensure service plans reflect the resident's needs as identified in the evaluation and provide clear direction to staff regarding the delivery of services was substantiated for 1 of 1 sampled resident (# 1). Findings include but are not limited to: Resident 1 was admitted to the facility 03/2024 with a diagnosis of major depressive disorder, recurrent and other specified depressive episodes. Resident 1's service plan, dated 06/17/25, in the section titled personality/behaviors, indicated Resident 1 “Has been identified as experiencing hallucinations or delusions. [Resident 1] will make comments about seeing people who are not that [sic], usually happens in the evening or at night.” On 08/20/25 Staff 2 stated there were “no other interventions other than her oral pharmacological intervention meds.” There was no documented evidence staff had been provided instructions on what to do for Resident 1 when s/he was experiencing hallucinations. The facility’s failure to ensure service plans reflect the resident's needs as identified in the evaluation and provide clear direction to staff regarding the delivery of services is a violation of Oregon Administrative Rules.