- Date
- 11/3/2022
- Report number
- 00230518-AP-188469
- Type
- Licensing Violation
- Level
- 3 - Moderate harm or potential for serious harm
- Allegation
- Failed to follow care plan
- Result
- Substantiated
- Findings
- Alleged Victim (AV) relies on the facility for his/her care. AV is care planned to have staff stand behind AV and use a padded gait belt when providing mobility assistance. On or about November 03, 2022, Alleged Perpetrator #2 (AP2) was providing toileting, and transfer care to AV. AP2 did not use a padded gait belt at the time of the transfer. AV fell and sustained a fracture left hip and a laceration to h/h head. 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.