Violation Details: 00134046-AP-105113

Records Request Print
Date
4/10/2021
Report number
00134046-AP-105113
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)(r)
External site: 411-054-0036(2)(g)
External site: 411-054-0040(1)(b) and (c)
Findings
The facility failed to appropriately care plan regarding Alleged Victim (AV) falls to ensure safety. AV fell twice (2) on or about April 10, 2021, was transported to the hospital for treatment, and found to have fractured wrist. AV had another fall on April 11, 2021 and again on April 12, 2021 and April 14, 2021, 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
ALFCP21-02814 $1125.00 fine assessed