Violation Details: 00188829-AP-150688

Records Request Print
Date
3/11/2022
Report number
00188829-AP-150688
Type
Licensing Violation
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to follow care plan
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b)
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 his/her care. AV is care planned to have toileting assistance and not be left unattended. On or about March 11, 2022, Alleged Perpetrator #2(AP2) was assisting AV to the restroom and left AV unattended. AV fell while standing to wash his/her hands and sustained a head injury that required four (4) staples. AP2 failed to follow the care plan, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to ensure the care plan was being followed, which is a violation of Oregon Administrative Rules.