Violation Details: 00237010-AP-194296

Records Request Print
Date
12/16/2022
Report number
00237010-AP-194296
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 the documentation, Alleged Perpetrator (AP2) failed to follow Alleged Victim’s (AV) service plan in providing stand-by assistance with all transfers. The failure resulted in AV self-transferring and sustaining a fall with injury, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to ensure AV’s care plan was followed, which is a violation of Oregon Administrative Rules.