- Date
- 9/21/2020
- Report number
- 00150065-AP-118738
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide safe environment
- Result
- Substantiated
- Findings
- On or about September 21, 2020, Alleged Perpetrator 2 (AP2) failed to follow Alleged Victim's (AV) care plan when he/she assisted AV with transfer without a gait belt that resulted in AV suffering a fall with skin injury. AP2's action is considered neglect of care which constitutes abuse. The facility failed to provide a safe environment for AV which is a violation of Oregon Administrative Rules.