- Effective date
- 11/5/2025
- End date
- 12/10/2025
- Reference number
- CALMS - 00093011
- Allegation
- Failed to properly plan care
- Description
- Violation 1: Service Plan.STATEMENT OF FACTS: The facility failed to update the service plan reflecting the use of a transfer pole. CONCLUSION OF LAW: The facilitys failure is a violation of the following OARs: 411-054-0036(1); (2) and (4)Violation 2: Evaluations.STATEMENT OF FACTS: There is no documented evidence the resident was evaluated for safe use of the transfer pole.CONCLUSION OF LAW:The facilitys failure is a violation of the following OARs: 411-054-0034(2) Violation 3: failed to provide a safe environment.STATEMENT OF FACTS: The facility failed to ensure the resident had a safe environment.CONCLUSION OF LAW:The facilitys failure is a violation of the following OARs: 411-054-0027(1)(s).
- Findings
- Facility failed to properly care plan
- Sanction
- ALFCD25-01040