- Date
- 9/21/2019
- Report number
- 00050720-AP-035273
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide safe environment
- Result
- Substantiated
- Findings
- On or about September 21, 2019, Alleged Perpetrator 2 (AP2) failed to follow the care plan for the Alleged Victim (AV) when AP2 left AV unattended, sitting on the edge of his/her bed while AP2 was getting a brief. AV stood up and fell, causing a skin tear. AP2's actions are considered neglect of care which constitute abuse. The facility failed to provide a safe environment which violates Oregon Administrative Rules.