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F0609
E

Failure to Timely Report Allegations of Abuse to State Agency

Mcminnville, Oregon Survey Completed on 06-09-2025

Penalty

Fine: $25,116
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to report allegations of abuse, including sexual abuse, to the State Agency within the required two-hour timeframe for three residents. One resident with Huntington's Disease and moderate cognitive impairment reported to a witness that a staff member fondled them, but there was no evidence the incident was reported to the facility or the State Agency, and no investigation was conducted. Staff interviews confirmed that management was aware of the allegation but did not initiate an investigation or report the incident as required. Two additional residents, both with no cognitive impairment, reported that an unidentified male caregiver had inappropriately touched their breasts. The Social Services Director was aware of these allegations and reported them to the Administrator for further investigation. However, record review and staff interviews confirmed that these allegations were not reported to the State Agency. The Administrator acknowledged awareness of the allegations but did not fulfill the reporting requirement.

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