- Date
- 5/23/2022
- Report number
- 00202356-AP-162989
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide safe environment
- Result
- Substantiated
- Findings
- Alleged Perpetrator 2 (AP2) failed to follow Alleged Victim's (AV) care plan when he/she failed to ensure AV's fall protocols were in place when AP2 was working as AV's caregiver. AP2 failed to place AV's fall mat on the floor next to AV's bed which put AV at risk of harm. AP2's actions is considered neglect of care which constitutes abuse. The facility failed to provide a safe environment for AV which is a violation of Oregon Administrative Rules.