Violation Details: 00211623-AP-171219

Date
7/22/2022
Report number
00211623-AP-171219
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to follow care plan
Result
Substantiated
Findings
The Alleged Victim (AV) has history of physical aggression, and resists to cares. AV has successful interventions in place for behaviors that include taking time with AV, building trust and AV doing well when given 1:1 attention. According to an investigation and camera review on or about July 22, 2022, Alleged Perpetrator 2 (AP2) and Alleged Perpetrator 3 (AP3) were attempting to assist AV with incontinence care and brief change. AV was uncooperative and refused care. AP2 and AP3 inappropriately responded to AV refusal of care by laughing at AV and treating AV in a negative manner, resulting in an increase of AV behaviors, which is considered verbal/emotional abuse. The facility failed to protect AV from verbal/emotional abuse which is a violation of Oregon Administrative Rules.