Violation Details: 00166606-AP-132195

Records Request Print Provider Details
Date
10/21/2021
Report number
00166606-AP-132195
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to use restraint properly
Result
Substantiated
Rule(s) Violated
411-054-00027(1)(f) and (r)
411-054-0028(2)
Findings
Alleged Victim (AV) relies on the facility for his/her care. On or about October 22, 2021, AV was displaying agitated behaviors. Alleged Perpetrator 2 (AP2) aggressively turned AV onto AV’s back on AV’s bed and then used blankets wrapped over AV in a restrictive manner. AP2 tucked the sides of the blankets under the mattress as the blankets were wrapped tightly around AV’s torso and head. AV was noted by staff to have bruising on AV’s left elbow region on or about October 22, 2021. AP2 failed to use restraint properly, which is neglect of care and constitutes abuse. The facility failed to protect AV from the use of proper restraint, which is a violation of Oregon Administrative Rules.