Violation Details: 00103592-AP-078926

Records Request Print
Date
9/18/2020
Report number
00103592-AP-078926
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to assure resident was safe
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(r)
Findings
The Alleged Perpetrator 2 (AP2) failed to follow the Alleged Victim's (AV) care plan to ensure his/her chair is tilted back and the leg rests are in place to help avoid falls and injury. The failure resulted in AV experiencing an unwitnessed fall causing risk of harm, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to protect AV from neglect, which is a violation of Oregon Administrative Rules.