- Date
- 7/4/2020
- Report number
- 00092067-AP-069543
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide safe environment
- Result
- Substantiated
- Findings
- On or about July 4, 2020, Alleged Perpetrator 2 (AP2) failed to follow Alleged Victim's (AV) care plan when AP2 assisted AV with a transfer. AV requires a two person assist with transfers and incontinence care. AV also requires caregivers to use a gait belt to assist in stabilizing AV during a transfer. On the day of the incident, AP2 failed to follow AV's care plan when AP2 transferred AV without the assistance of another caregiver which resulted in AV falling and suffering pain to his/her hip due to the fall. AP2's actions is considered neglect of care which constitutes abuse. The facility failed to provide a safe environment for AV which is a violation of Oregon Administrative Rules.