Violation Details: 00221981-AP-180699

Records Request Print
Date
9/16/2022
Report number
00221981-AP-180699
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 care planned as a two-person full assist. On or about September 16, 2022, Alleged Perpetrator 2 (AP2) attempted to transfer AV without assistance from another staff member. As a result, AV fell during the process of being transferred. AP2 failed to follow the care plan, which is neglect of care and constitutes abuse. The facility failed to assure the care plan was being followed, which is a violation of Oregon Administrative Rules.