Date: 3/20/2014
Report Number: ST146773
Allegation: Failed to protect resident from rough treatment
Type: Physical Abuse
Level: 2 - Minor harm or potential for moderate harm
Description: On or about March 20, 2014 at approximately 1:00 P.M. RP2 approached RV to provide care. RV reported never seeing RP2 before, RP2 was "horrible", RV told RP2 to stop and RP2 hurt me. RP2 continued to provide care despite RV's resistance to care and RV saying "no"; RP2 failed to honor RV's choice in care; and failed to seek staff assistance and or guidance when RV resisted care. RV sustained injury to gentalia skin. RP2 was agency staff and had never cared for RV before. RP2 was not the assigned aide for RV and did not know about RV's behaviors before starting care. The facility failed to adequately instruct and or supervise RP2's care of RV. The facility failure constitutes abuse. Oregon Administrative Rule violations occurred.
Rule(s) Violated: 411-085-0310(7)
411-085-0360(1)
411-086-0140(2)(b) and (c)(B) and (C)
Result: Substantiated
Findings: Facility failed to protect resident from harm.