- Date
- 1/13/2020
- Report number
- 00066331-AP-047946
- Type
- Licensing Violation
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to assure resident was safe
- Result
- Substantiated
- Findings
- According to documentation, the Alleged Perpetrator 2 (AP2) failed to follow the Alleged Victim's (AV) care plan to provide two-person assistance with transfers. The failure resulted in AV falling and breaking his/her Tibia, AP2's actions are considered neglect of care which constituents abuse. The facility failed to protect the AV from neglect, which is a violation of Oregon Administrative Rules.