Violation Details: 00131458-AP-102797

Records Request Print
Date
2/26/2021
Report number
00131458-AP-102797
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to provide safe environment
Result
Substantiated
Rule(s) Violated
External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
External site: 411-054-0040(a)(b) and (c)
Findings
The facility failed to provide appropriate assessment following an injury fall. On or about February 26, 2021, the Alleged Victim (AV) experienced a fall where it was reported his/her foot “was turned out in an odd manner that would indicate possible fracture”. The failure resulted in AV experiencing a delay in emergency care services, which left AV in pain and unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse as defined in OAR 411-020-0002 (1)(b)(A)(ii).
Sanction
RCFCP21-02894 $500.00 fine assessed