Provider Details

Aging and People with Disabilities

Safety, Oversight and Quality

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Print Violation: SR18035

Provider Information


Forest Glen Senior Living

200 SW FRONTAGE RD
Canyonville, OR 97417

Provider ID
50M209
Phone
(541) 839-4266
Email
louise.cousins@forestglenseniorresidence.com

Violation Details


Date
5/11/2018
Report number
SR18035
Type
Licensing Violation
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to report potential or suspected abuse
Result
Substantiated
Findings
Civil Penalty for failure to selfreport.
Sanction
RCFCP18-415 $750.00 fine assessed