Violation Details: 00090095-AP-067692

Records Request Print
Date
6/21/2020
Report number
00090095-AP-067692
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: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings
On or about June 21, 2021, Alleged Perpetrator 2 (AP2) failed to follow The Alleged Victim (AV) care plan for a two-person transfer. The failure resulted in AV falling. AP2's actions is a violation of resident rights, is considered neglect of care and constitute abuse. The facility failed to ensure care plans were followed, which is a violation of Oregon Administrative Rules.