- Date
- 3/28/2020
- Report number
- 00077810-AP-057439
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide safe environment
- Result
- Substantiated
- Findings
- Amended 4/23/2021: On or about March 28, 2020, Alleged Victim (AV) and Witness 1 (W1) had a resident-to-resident altercation. Prior to the incident, W1 was placed on a visual/indirect one-on-one care plan; however, an investigation determined facility staff were inconsistent in their knowledge of W1's one-on-one care needs. The facility failed to ensure W1 received one-on-care which resulted in the altercation between W1 and AV. The facility's failure is a violation of Oregon Administrative Rules.
- Sanction
- RCFCP20-01205 $0.00 fine assessed