Violation Details: 00059525-AP-042351

Records Request Print
Date
11/23/2019
Report number
00059525-AP-042351
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to follow care plan
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(r)
Findings
The Alleged Perpetrator 2 (AP2) failed to follow the Alleged Victim's (AV) care plan to assure his/her chair alarm was in proper working order. The failure resulted in AV falling from his/her chair causing a skin injury, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to protect AV from neglect which is a violation of Oregon Administrative Rules.