Violation Details: 00201985-AP-162638

Records Request Print
Date
5/23/2022
Report number
00201985-AP-162638
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(f)(k) and (r)
External site: 411-054-0028(2)
External site: 411-054-0030
Findings
On or about May 13, 2022, the Alleged Victim (AV) was having behaviors. Alleged Perpetrator #2 (AP2) grabbed AV by the wrists to restrain him/her, causing a bruise. This is not a technique that staff were trained to use to redirect AV. AV was care planned for behavioral interventions at the time of the incident. AP2's actions are a violation of resident rights, are considered neglect of care and constitute wrongful restraint. The facility failed to provide a safe environment, which is a violation of Oregon Administrative Rules.