Violation Details: 00228561-AP-186707

Records Request Print
Date
10/26/2022
Report number
00228561-AP-186707
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: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(a)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings
Alleged Victim (AV) is care planned to have two people assist with all transfers and transfer assistance equipment is require for all transfers. On or about October 25, 2022, Alleged Perpetrator #2(AP2) transferred AV by h/h-self. AV bumped h/h left shin and sustained a skin tear. AP2 failed to follow the care plan, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to ensure the care plan was being followed, which is a violation of Oregon Administrative Rules.