- Date
- 5/10/2020
- Report number
- 00083283-AP-062000
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to follow care plan
- Result
- Substantiated
- Findings
- Alleged Perpetrator 2 failed to follow the Alleged Victim's (AV) care plan to provide standby assistance with showers. The failure resulted in AV experiencing an unwitnessed fall with injury, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to protect the AV from abuse, which is a violation of Oregon Administrative Rules.