- Date
- 6/20/2021
- Report number
- 00147584-AP-116676
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to follow care plan
- Result
- Substantiated
- Findings
- Alleged Victim (AV) is care planned to be checked every 2-3 hours. On or about June 20, 2021, review of cameras showed Alleged Perpetrator 2 (AP2) did not go into AV's room until nearly 5am. AP2 failed to follow the care plan by not checking on AV every 2-3 hours, which is considered neglect of care as defined in OAR 411-020-0002(1)(b)(A)(ii) which constitutes abuse. The facility failed to ensure AV's care plan was followed which is a violation of Oregon Administrative Rules.