- Date
- 10/17/2020
- Report number
- 00108280-AP-083029 B
- Type
- Licensing Violation
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to provide oversight and monitoring of change of condition
- Result
- Substantiated
- Findings
- On or about October 17, 2020, Alleged Victim (AV) experienced a fall. Alleged Perpetrator 2 (AP2) was responsible for documenting the fall and starting alert charting so AV could be monitored for injury. AP2 failed to complete any written documentation regarding the fall putting AV at risk for serious harm. AP2's actions are considered neglect of care and constitutues abuse. The facility failed to ensure AV's fall was documented appropriately which is a violation of Oregon Administrative Rules.
- Sanction
- RCFCP21-02286 $1500.00 fine assessed