Violation Details: 00225095-AP-183680

Records Request Print
Date
10/1/2022
Report number
00225095-AP-183680
Type
Licensing Violation
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to provide service
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: 411-054-0040(1)(b) and (c), (2)
Findings
The Alleged Perpetrator #2 failed to provide appropriate care and services according to Alleged Victim (AV) needs and failed to assess and intervene according to AV change of condition. On or around October 01, 2022, staff reported concerns and changes regarding AVs alertness, responsiveness, eating, and trouble swallowing, to AP2. On or around October 02, 2022, AV was suspected to have had a stroke. AP2’s actions are a violation of resident rights, are considered neglect of care and constitute abuse. The facility failed to ensure adequate supervision and oversight of AV’s care, which is a violation of Oregon Administrative Rules.