Violation Details: 00089992-AP-067611

Records Request Print
Date
6/23/2020
Report number
00089992-AP-067611
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to follow care plan
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings
Alleged Victim (AV) is care planned for a two person transfer. On or about June 23, 2020, Alleged Perpetrator 2 (AP2) attempted to transfer AV without the assistance of a second person causing the wheelchair to roll over AV's left foots. AV experienced pain and bruising on his/her left heel following the incident. AP2 failed to follow AV's care plan, which is considered neglect of care and constitutes abuse. The facility failed to protect AV from AP2's actions which is a violation of Oregon Administrative Rules.