Violation Details: 00222027-AP-180754

Date
9/18/2022
Report number
00222027-AP-180754
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
Result
Substantiated
Findings
On or about September 18, 2022, Alleged Perpetrator 2 (AP2) wheeled Alleged Victim (AV) into his/her room, left AV in his/her wheelchair, closed AV's bedroom door, and did not provide safety checks on AV between 12:27am and 4:12am. Based on facility documentation and interviews, AV has a history of slipping out of AV's wheelchair. AP2's actions placed AV at risk of harm and is considered neglect of care which constitutes abuse. The facility's failure to provide AV a safe environment is a violation of Oregon Administrative Rules.