- Date
- 8/23/2020
- Report number
- 00112792-AP-087714
- Type
- Licensing Violation
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to follow care plan
- Result
- Substantiated
- Findings
- Alleged Victim (AV) relies on the facility for his/her care. AV is care planned to have toileting assistance and not be left unattended on the toilet. On or about August 23, 2020, Alleged Perpetrator #2(AP2) was assisting AV to the restroom and left AV unattended. AV fell off the toilet and sustained a fracture to his/her right arm. AP2 failed to follow the care plan, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to ensure the care plan was being followed, which is a violation of Oregon Administrative Rules.