Violation Details: 00202571-AP-163151

Records Request Print
Date
5/29/2022
Report number
00202571-AP-163151
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate 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)(r)
Findings
According to the documentation, an unknown perpetrator (AP3) failed to follow the care plan of the Alleged Victim (AV) by not placing their fall mat next to their bed when the AV was asleep. The failure resulted in the AV suffering a fall causing an abrasion to their scalp, which is a violation of resident rights and is considered abuse. The facility failed to follow the care plan which is a violation of Oregon Administrative Rules.