Violation Details: 00219408-AP-178306

Records Request Print
Date
9/3/2022
Report number
00219408-AP-178306
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: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings
Alleged Victim (AV) is a two-person transfer. On or about September 3, 2022, Alleged Perpetrator 2 (AP2) used a sit to stand and did a one-person transfer. As a result, AV’s leg got crushed in the process resulting in bruising on his/her leg and a skin tear. AP2 failed to follow the care plan, which is neglect of care and constitutes abuse. The facility failed to assure AV’s care plan was being followed, which is a violation of Oregon Administrative Rules.