- Date
- 10/31/2020
- Report number
- 00110131-AP-084692
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to follow care plan
- Result
- Substantiated
- Findings
- Witness 1 (W1) has a known history of crawling or putting his/her self on the ground and is care planned for staff to attempt to assist his/her to sit in a chair, lay in bed or lay on the love seat in the activity room when doing so. On or about October 31, 2020, W1 was sitting on the floor and was in the path of Alleged Victim AV). AV stepped over W1 and W1 hit AV, AV hit W1 back. Neither resident showed any signs of adverse effect from the altercation. The facility failed to follow the care plan which is a violation of Oregon Administrative Rules.