- Date
- 4/6/2022
- Report number
- 00193787-AP-155082
- Type
- Licensing Violation
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to follow care plan
- Result
- Substantiated
- Findings
- The Alleged Victim (AV) is a known fall risk and is care planned to be checked multiple times per night for safety. On or about April 6, 2022, AV was found on the floor in his/her apartment, had blood around his/her head, which was partially dried and was covered in urine. AV was sent to the hospital and was diagnosed with a laceration on the back of his/her head, requiring 5 staples and a fractured clavicle. Alleged Perpetrator #2 (AP2) was on shift that night and failed to follow AV's care plan to check on AV during his/her shift. AP2's actions are a violation of resident rights, are considered neglect of care and constitutes abuse. The facility's failure is a violation of Oregon Administrative Rules.