- Date
- 6/14/2022
- Report number
- 00205417-AP-165684
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to follow care plan
- Result
- Substantiated
- Findings
- Alleged Victim (AV) is care planned as a two-person assist for all transfers. On or about June 14, 2022, the Alleged Perpetrator 2 (AP2) did not follow AV's care plan and assisted AV to the toilet and AV was left alone, which resulting fall causing a laceration and a hip injury. AP2's actions are considered neglect and constitutes abuse. The facility failed to ensure care plans were followed which is a violation of Oregon Administrative Rules.