- Date
- 12/29/2022
- Report number
- 00238974-AP-196011
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to provide safe environment
- Result
- Substantiated
- Findings
- Alleged Victim (AV) fell and sustained a skin tear to AV's left arm. Based on facility documentation and interviews, Alleged Perpetrator 2 (AP2) did not complete an assessment of AV following AV's fall. The following morning, AV's pillow was covered in blood and staff observed a skin tear to AV's head. AP2's actions is considered neglect of care which constitutes abuse. The facility failed to provide a safe environment for AV which is a violation of Oregon Administrative Rules.