Violation Details: 00132694-AP-103933

Records Request Print
Date
10/30/2020
Report number
00132694-AP-103933
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to properly plan care
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 his/her care. AV has a history of falls and frequently observed to have bruises, cuts, and injuries. On or about October 30th, 2021 AV had a fall and was transported to the ER. AV was found to have a sprained shoulder. On or about November 10th, 2021 AV was found to have a skin tear to his/her forehead and left forearm. The facility did not have a service plan in place, which provided interventions, care and services appropriate for AVs care needs at the time of his/her falls and injuries, which is a violation of resident’s rights is neglect of care and constitutes abuse as defined in OAR 411-020-0002(1)(b)(A)(i).
Sanction
ALFCP21-02964 $500.00 fine assessed