Violation Details: 00247780-AP-203800

Records Request Print
Date
2/17/2023
Report number
00247780-AP-203800
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)(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
Alleged Victim (AV) is serviced planned with 1-2 person assist with pivot transfers using a gait belt. On or about February 17, 2023, Alleged Perpetrator #2 (AP2) was not using a gait belt when attempting to transfer AV. AV did not report right knee pain at time of transfer, but reported right knee pain the next day. AP2’s actions are a violation of resident rights, are considered neglect of care and constitute abuse. The facility failed to ensure the care plan was being followed, which is a violation of Oregon Administrative Rules.