Violation Details: 00236464-AP-193818

Records Request Print
Date
12/12/2022
Report number
00236464-AP-193818
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)(r)
Findings
According to documentation, Alleged Perpetrator 2 (AP2) failed to follow Alleged Victim’s (AV) service plan which resulted in AV experiencing an unwitnessed fall. The failure placed AV at risk for serious harm, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to provide a safe environment which is a violation of Oregon Administrative Rules.