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F0609
D

Failure to Timely Report Alleged Abuse to State Agency

Woodburn, Oregon Survey Completed on 12-12-2025

Penalty

No penalty information released
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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 an allegation of abuse to the State Agency within the required two-hour timeframe for one resident diagnosed with dementia and agitation. On the day of the incident, a CNA was physically struck by the resident, after which the resident alleged that the CNA had abused them first. The LPN assessed the resident and reported the allegation to facility management, but no staff initiated an investigation or ruled out the allegation within the mandated timeframe. The State Agency did not receive the facility's report of the abuse allegation until several hours after the incident, exceeding the required reporting window.

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