- Date
- 6/23/2021
- Report number
- 00147853-AP-116918
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide safe environment
- Result
- Substantiated
- Findings
- On or about June 23, 2021, Alleged Perpetrator 2 (AP2) failed to follow Alleged Victim's (AV) care plan when AP2 failed to follow safety checks every 2 to 3 hours which resulting in AV suffering a fall. AP2's actions is considered neglect of care and constitutes abuse. The facility's failure to provide a safe environment is a violation of Oregon Administrative Rules.