Violation Details: 00147752-AP-116827

Records Request Print
Date
6/28/2021
Report number
00147752-AP-116827
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to intervene when resident's condition changed
Result
Substantiated
Rule(s) Violated
External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0036(2)(g)
Findings
Alleged Victim (AV) has a history of falls. Approximately April 8, 2021 through June 28, 2021, AV experienced several falls, some resulting in injury. The facility failed to care plan for AV's known history of falls which is a violation of resident rights, is neglect of care as defined in OAR 411-020-0002(1)(b)(A)(ii) which constitutes abuse.
Sanction
ALFCP21-03140 $500.00 fine assessed