- Date
- 4/4/2022
- Report number
- 00192704-AP-154115
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide safe environment
- Result
- Substantiated
- Findings
- Witness #1 (W1) has a history of aggression towards staff and other residents. On or about April 4, 2022, the Alleged Perpetrator #2 (AP2) saw that W1 was out of bed, however, AP2 assumed that W1 was going back to bed and failed to follow de-escalation protocols put in place for W1. After AP2 walked away from W1, an altercation occurred between W1 and the Alleged Victim (AV), resulting in AV having discoloration to his/her eye and skin tears on his/her hand. AP2 failed to provide a safe environment, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to provide a safe environment, which is a violation of Oregon Administrative Rules.