- Date
- 2/20/2020
- Report number
- 00072166-AP-052746
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide safe environment
- Result
- Substantiated
- Findings
- On or about February 20, 2020, Alleged Perpetrator 2 (AP2) did not follow Alleged Victim's (AV) care plan. AV is care planned to be transferred with a gait belt. At time of incident, AP2 did not use AV's gait belt when AP2 assisted AV to the restroom which resulted in AV falling and hitting his/her head on the left front wheel of AV's wheelchair. AP2's actions are considered neglect of care and constitutes abuse. The facility failure is a violation of Oregon Administrative Rules.