Violation Details: 00088577-AP-066460

Records Request Print
Date
6/17/2020
Report number
00088577-AP-066460
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate 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)
Findings
On or about June 17, 2020, the Alleged Victim (AV) experienced an injury fall during a transfer using a hoyer lift. Alleged Perpetrator #2 (AP2) was well versed in using the hoyer lift and failed to set the legs of the hoyer lift in the proper position causing the lift to tip over, causing AV to suffer a broken rib. AP2 failed to provide a safe environment for the AV, and AP2's actions are considered neglect of care which constitutes abuse. The facility failed to provide a safe environment which violates Oregon Administrative Rules.