- Date
- 3/17/2021
- Report number
- 00139898-AP-110192
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide safe environment
- Result
- Substantiated
- Findings
- On or about March 17, 2021, Alleged Perpetrator 2 (AP2) failed to follow Alleged Victim's (AV) care plan when he/she transferred AV with a Hoyer lift from AV's wheelchair to AV's bed without assistance from another staff member. AV is care planned as a 2 person Hoyer lift assist. AP2's actions is considered neglect of care which constitutes abuse. The facility failed to provide a safe environment for AV which is a violation of Oregon Administrative Rules.