- Date
- 1/4/2023
- Report number
- 00240187-AP-197026
- Type
- Licensing Violation
- Level
- 2 - Minor harm or potential for moderate harm
- Allegation
- Failed to follow care plan
- Result
- Substantiated
- Findings
- The Alleged Victim (AV) is care planned to have his/her briefs changed regularly each shift. Alleged Perpetrator #2 (AP2) was working on the evening of 1/03/2023. AV was found the morning of 1/4/2023 in a soaked brief and his/her bed was soaked. It was discovered that AV's brief had not been changed since 4:30 pm the previous day. AP2 failed to follow AV's care plan, causing unreasonable discomfort. AP2's actions are a violation of resident rights, are considered neglect of care and constitute abuse. The facility's failure is a violation of Oregon Administrative Rules.