Violation Details: 00228604-AP-186783

Date
7/8/2022
Report number
00228604-AP-186783
Type
Abuse: Neglect
Level
3 - Moderate harm or potential for serious harm
Allegation
Failed to provide oversight and monitoring of change of condition
Result
Substantiated
Findings
On or about July 08, 2022, the facility failed to ensure the Alleged Perpetrator 2 (AP2) assessed, intervened, and monitored the Alleged Victim (AV) when he/she experienced a change of condition. AV experienced abdominal pain from on or about May 1, 2022- July 11th, 2022. According to documentation, AV was transported to hospice for care on or about July 11, 2022. AP2’s actions are considered neglect of care and constitutes abuse. The facility failed to ensure oversight was appropriately conducted, which is a violation of Oregon Administrative Rules.
Sanction
ALFCP23-00398 $500.00 fine assessed