Date: 12/23/2015
Report Number: HB154049
Allegation: Failed to address resident's behavior
Type: Neglect
Level: 2 - Minor harm or potential for moderate harm
Description: RV2 pushed a chair into the shin of RV1 causing an abrasion. RV2 has a history of aggressive behaviors and pushing furniture around. RV2 and RV3 were in a physical altercation using warm coffee and bowls. RV3 warned RV2 to stay away, RV3 threw coffee on RV2 and RV2 threw bowls at RV3 hitting RV3's hand causing a bruise. There is a history of a prior event of RV2 pushing a table into RV3 causing RV3 to fall. The facility failed to provide adequate monitoring, supervision and or staffing to prevent negative injury altercation between RV2; and RV1 and RV3. The facility failure constitutes neglect and abuse. Oregon Administrative Rule violations occurred.
Rule(s) Violated: 411-085-0360(1)
411-086-0140(2)(b) and (c)(C) and (4)
Result: Substantiated
Findings: The facility failed to provide a safe environment.
Sanction: NFCP16-036 $200.00 fine assessed