- Date
- 6/24/2021
- Report number
- 00146733-AP-115987
- Type
- Licensing Violation
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to provide safe environment
- Result
- Substantiated
- Findings
- Alleged Perpetrator 2 (AP2) neglected Alleged Victim (AV) by failing to provide the basic care and services necessary which created a risk of serious harm. An investigation determined that AP2 was heavily intoxicated during his/her shift and AP2 failed to follow AV's care plan which resulted in AP2 dropping AV to the floor during a transfer due to AP2 being intoxicated. AP2's actions is considered neglect of care and constitutes abuse. The facility failed to provide a safe environment for AV which is a violation of Oregon Administrative Rules.