Print Violation: CALMS - 00119264

Provider Information

Mountain Park Memory Care Community

13600 SE 122ND AVE
Clackamas, OR 97015

Date: 4/20/2025
Report number: CALMS - 00119264
Type: Licensing Violation
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to cooperate with an investigation
Result: Substantiated
Rule(s) Violated: 411-054-0105(1)(a)
Findings: Based on interview and record review, conducted during an investigation on 06/30/26, the facility’s failure to provide records to the Department upon request was substantiated. Findings include but are not limited to: A review of electronic communication, dated 04/23/25, indicated the Department requested documents related to the facility’s Acuity-Based Staffing Tool (ABST) alleged event date 04/20/25. The facility had not provided all requested documentation by the due date of 04/24/25. The facility’s failure to provide records to the Department upon request is a violation of Oregon Administrative Rules.