Violation Details: 00050259-AP-034939

Records Request Print
Date
9/19/2019
Report number
00050259-AP-034939
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(b)
External site: 411-054-0027(1)(f) and (r)
Findings
Alleged Victim (AV) requires staff assistance with transfers and uses a power wheelchair for ambulation. On or about September 19, 2019, Alleged Perpetrator 2 (AP2) was assisting AV with a transfer. AP2 moved AV's power chair forward fast, hitting a table. The commode did not fit in the area so AP2 moved the power chair backwards and hit AV, knocking him/her down causing pain and injury. AP2's actions are considered neglect and constitutes abuse. The facility failed to provide a safe environment which is a violation of Oregon Administrative Rules.