Violation Details: 00242938-AP-199405

Records Request Print
Date
1/19/2023
Report number
00242938-AP-199405
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)(a)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0030(1)(e)(A)
External site: 411-054-0036(2)(g)
Findings
On or about December 21, 2022, AV had a fall while being transferred by Alleged Perpetrator #2 (AP2). AV is care planned to use a gait belt for transfers. AP2 was not using a gait belt when attempting to transfer AV. AP2’s actions are a violation of resident rights, are considered neglect of care and constitute abuse. The facility failed to follow the care plan which is a violation of Oregon Administrative Rules.