Violation Details: 00213612-AP-172943

Records Request Print
Date
8/2/2022
Report number
00213612-AP-172943
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)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0030(1)(e)(G)
Findings
The Alleged Victim (AV) is care planned to be toilet checked every two hours on night shift. Alleged Perpetrator #2 (AP2) was scheduled to work night shift on August 2, 2022. Staff arrived at the facility at 5:00 am and found AV and his/her bedding soaked in urine. According to video surveillance, AP2 did not check on AV during the entire shift. AP2 failed to follow the care plan, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility's failure is a violation of Oregon Administrative Rules.