Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: CO18480

Provider Information


Countryside Living Memory Care

390 NW 2ND AVE
Canby, OR 97013

Provider ID
50R283
Administrator
STACY ZIMMERMAN
Phone
(503) 266-3031
Email
ed@countrysidelivingcanby.com

Violation Details


Date
1/17/2018
Report number
CO18480
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to report potential or suspected abuse
Result
Substantiated
Findings
Civil Penalty
Sanction
RCFCP18-288 $1000.00 fine assessed