Violation Details: 00236297-AP-193664

Date
12/7/2022
Report number
00236297-AP-193664
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide appropriate skin care
Result
Substantiated
Findings
The Alleged Victim (AV) has a history of wounds on his/her bottom. AV was noticed to have an open wound above AV's right buttock. The facility tried to complete wound care, however, the ulcer worsened and the facility did not have any orders to be completing wound care for AV. AV was ultimately sent out to the Emergency Department, where it was determined AV would receive wound care from an outside agency. The facility's failure to ensure proper wound care is a violation of Oregon Administrative Rules.