Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: CO14110

Provider Information


Countryside Living Memory Care South

406 NW 2ND AVENUE
Canby, OR 97013

Provider ID
50R380
Administrator
STACY ZIMMERMAN
Phone
(503) 266-3031
Email
ed@countrysidelivingcanby.com

Violation Details


Date
5/16/2014
Report number
CO14110
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to assure resident rights
Result
Substantiated
Findings
G tag on 200 for resident rights. RV1 non verbally refused HPPT, however treatments continued.
Sanction
RCFCP14-051 $300.00 fine assessed