- Date
- 1/4/2023
- Report number
- 00240317-AP-197132A
- 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 for two-person transfers and use of a gait belt. On or about January 4, 2023, the Alleged Perpetrator 2 (AP2) did not follow AV's care plan and transferred AV by themselves without a gait belt resulting in AV falling, resulting in a bruise underneath AV’s arm. AP2’s actions are a violation of resident rights, are considered neglect of care and constitutes abuse. The facility failed to ensure care plans were followed which is a violation of Oregon Administrative Rules.