Violation Details: 00142692-AP-112502

Records Request Print
Date
6/2/2021
Report number
00142692-AP-112502
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to use restraint properly
Result
Substantiated
Rule(s) Violated
External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
Findings
Alleged Victim (AV) is unable to use his/her call light and is often confused. Alleged Perpetrator 2 (AP2) has wrapped AV’s call cord around AV to go off is AV moved. AP2 was provided with appropriate training and signed of on his/her training checklist acknowledging he/she understand supportive device and possible restraint qualities, as well as mobility/safe resident handling. AP2 failed to use restraint properly, which is neglect of care and constitutes abuse. The facility failed to assure restraint was properly use, which is a violation of Oregon Administrative Rules.