Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

Oregon Department of Human Services Logo

Print Violation: OR0003390601

Provider Information


Countryside Village Lodge

1718 KELLENBECK AVE
Grants Pass, OR 97527

Provider ID
50R475
Administrator
Angela Geving
Phone
(541) 956-0999
Email
mca@countrysidevillageretire.com

Violation Details


Date
1/13/2022
Report number
OR0003390601
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
Result
Substantiated
Rule(s) Violated
411-054-0025(4)
Findings
The facility failed to exercise reasonable precautions against any condition that may threaten the health, safety, or welfare of the residents. An investigation determined a licensing violation or abuse occurred.