Violation Details: 00129186-AP-107260

Records Request Print
Date
2/23/2021
Report number
00129186-AP-107260
Type
Licensing Violation
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to follow care plan
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings
The Alleged Victim (AV) has a history of falls and is care planned to have assistance with transfers and to be assisted with standing up and sitting / laying down. On or about February 23, 2021, AV was being assisted in his/her room by Alleged Perpetrator #5 (AP5) when AV fell and suffered a fractured hip requiring surgery. AP5 was distracted while AV fell, not following AV's care plan. AP5 had been counseled prior about distracted care giving of residents. AP2's actions are a violation of resident rights, is considered neglect of care and constitutes abuse. The facility's failures are a violation of Oregon Administrative Rules.
Sanction
RCFCP21-02480 $375.00 fine assessed