Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: CALMS - 00086876

Provider Information


Avamere Living at Newberg

730 FOOTHILLS DRIVE
Newberg, OR 97132

Provider ID
70M208
Administrator
Kelci Mauser
Phone
(503) 554-0767
Email
kmauser@avamerecommunities.com

Violation Details


Date
8/13/2025
Report number
CALMS - 00086876
Type
Licensing Violation
Level
4 - Serious harm, death, imminent danger or chronic regulatory noncompliance
Allegation
Failed to provide oversight and monitoring of change of condition
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 have a Registered Nurse assess all residents with a significant change of condition was substantiated for 1 of 1 sampled resident (# 1). Findings include but are not limited to: 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.” Progress notes for Resident 1, dated 07/17/25 through 08/13/25, indicated: - On 08/06/25, Resident 1 was suffering hallucinations, seeing children in his/her room; - On 08/10/25, Resident 1 was experiencing hallucinations, thinking s/he was a fictional character; - On 08/11/25, Resident was found on the floor of his/her apartment, confused, with unidentified pills in his/her hand, again experiencing hallucinations, that there was a man in his/her bathroom; - On 08/12/25, Resident 1 “appears agitated, restless, and [sic] hallucinations;” and - On 08/13/25, Resident 1 had hit a family member in the face with a metal water bottle, made comments about wanting “to be taken out of this world,” and staff had administered PRN Haloperidol and Olazepam. The 08/13/25 progress note also indicated on 08/11/25 Resident 1 had been combative with staff, hallucinating, and telling staff “everyone was trying to kill [him/her].” - The progress note entries on 08/06/25, 08/10/25, 08/11/25, and 08/12/25 were documented as “outside provider notes.” On 08/20/25 Staff 2 stated there were “no other interventions other than her oral pharmacological intervention meds.” On 06/13/25, Staff 5 completed a form titled Significant Change of Condition Comprehensive Assessment. There was no documented evidence interventions were made as a result of the assessment or communicated to staff. There was no documented evidence of interventions for staff on each shift to take or monitor in the event Resident 1 was experiencing suicidal ideations or hallucinations. On 06/18/25, Staff 5 completed a form titled Significant Change of Condition update. There was no documented evidence of interventions for staff on each shift to take or monitor in the event Resident 1 was experiencing suicidal ideations or hallucinations. On 08/18/25 at 12:35 PM, Staff 5 stated the last review of Resident 1's change of condition was 06/18/25, and “I don’t know if there was any changes of condition in [Resident 1].” The facility's failure to have a Registered Nurse assess all residents with a significant change of condition is a serious violation of Oregon Administrative Rules.