- Date
- 4/6/2019
- Report number
- 00025951-AP-018519
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide safe environment
- Result
- Substantiated
- Findings
- Alleged Perpetrator 2 (AP2) failed to follow Alleged Victim's (AV) care plan by failing to transfer AV properly resulting in AV sustaining a skin tear. AP2's actions is considered neglect of care which constitutes abuse. The facility failed to provide a safe environment for AV which is a violation of Oregon Administrative Rules.