Violation Details: 00217015-AP-176055

Date
8/20/2022
Report number
00217015-AP-176055
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) is care planned to be transferred with a gait belt or stand by assist. On or about August 19, 2022, Alleged Perpetrator #2 (AP2) re-positioned AV by pulling on AV's hand, resulting in a bruise to his/her hand. AP2 failed to follow the care plan, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failure is a violation of Oregon Administrative Rules.