Violation Details: 00151687-AP-120047

Records Request Print
Date
7/19/2021
Report number
00151687-AP-120047
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to follow care plan
Result
Substantiated
Rule(s) Violated
External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings
Alleged Victim (AV) relies on the facility for assistance with mobility, which includes two-person transfers. On or about July 19, 2021, Alleged Perpetrator 2 (AP2) did not follow proper procedure and transferred AV by themselves resulting in AV receiving injuries. AP2 failed to follow the care plan which is neglect of care and constitutes abuse. The facility failed to ensure care plans were followed which is a violation of Oregon Administrative Rules.