Violation Details: 00069553-AP-050579

Records Request Print
Date
2/1/2020
Report number
00069553-AP-050579
Type
Licensing Violation
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to provide safe environment
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0030(1)(e)(I)
External site: 411-054-0036(2)(g)
Findings
On or about February 1, 2020, the Alleged Victim (AV) experienced an injury fall while being transferred with a sit to stand by Alleged Perpetrator #2 (AP2). AP2 was not following the care plan to utilize a two person transfer while using the sit to stand with AV. While being transferred, AV's foot slid off and got caught under the plate on the sit to stand, causing AV to sustain lacerations and a leg fracture. AP2's actions are a violation of resident rights, are considered neglect of care and constitute abuse. The facility failed to provide a safe environment which violates Oregon Administrative Rules.