Violation Details: 00115781-AP-089507

Records Request Print
Date
11/29/2020
Report number
00115781-AP-089507
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to follow care plan
Result
Substantiated
Rule(s) Violated
External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)(a) and (b)
External site: 411-054-0036(2)(g)
Findings
Alleged Victim (AV) relies on the facility for h/h care. On or about November 30, 2020, it was discovered AV incontinence garment was extremely soiled and saturated through. AP2 was solely responsible for AV’s care from 1400 hours on or about November 29, 2020 through 0600 hours on or about November 30, 2020. The garment had the same label from the day prior, which indicated AV had not been changed. Alleged Perpetrator (AP2) reported he/she could not remember if they changed AV’s brief or not. AP2 failure to provide care is neglect of care and constitutes abuse as defined in OAR 411-020-0002(1)(b)(A)(ii). The facility failed to ensure care was completed which is a violation or Oregon Administrative rules.