Violation Details: 00121656-AP-094425

Records Request Print
Date
1/1/2021
Report number
00121656-AP-094425
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(s)
Findings
On January 5, 2021, Alleged Victim (AV) was found on the ground in his/her room by Alleged Perpetrator 2 (AP2). Based on facility documentation and interviews, AP2 failed to follow AV's care plan when AP2 lifted up AV off the floor incorrectly by not using AV's gait belt. aP2'S actions caused AV unreasonable discomfort which is considered neglect of care which constitutes abuse. The facility failed to provide a safe environment for AV which is a violation of Oregon Administrative Rules.