- Date
- 6/2/2022
- Report number
- 00204223-AP-164666
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to follow care plan
- Result
- Substantiated
- Findings
- On or about June 2, 2021, Alleged Perpetrator 2 (AP2) failed to follow The Alleged Victim (AV) care plan for a two-person transfer. The failure resulted in AV being forced to use a portable urinal causing a loss of dignity. AP2's actions is a violation of resident rights, is considered neglect of care and constitute abuse. The facility failed to ensure care plans were followed, which is a violation of Oregon Administrative Rules.