- Date
- 3/9/2021
- Report number
- 00128833-AP-100462
- Type
- Licensing Violation
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to provide safe environment
- Result
- Substantiated
- Findings
- Alleged Perpetrator 2 (AP2) failed to follow Alleged Victim's (AV) care plan when AP2 transferred AV by himself/herself causing a broken arm. An investigation determined that AP2 had knowledge that AV was a 2-person transfer and decided to transfer AV by himself/herself. AP2's action is considered neglect of care and constitutes abuse. The facility failed to provide a safe environment for AV which is a violation of Oregon Administrative Rules.