Violation Details: 00248763-AP-204670

Date
12/25/2022
Report number
00248763-AP-204670
Type
Abuse: Neglect
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to follow care plan
Result
Substantiated
Findings
On or about December 25, 2022, Alleged Perpetrator 2 (AP2) failed to follow The Alleged Victim (AV) is care planned to be checked on every two hours. According to documentation AP2 let AV go out onto the secured courtyard unattended. The failure resulted in AV being found approximately five hours later cold and wanting to come inside and experiencing pain and unreasonable discomfort. AP2's actions is a violation of resident rights, is considered neglect of care and constitute abuse. The facility failed to ensure care plans were followed, which is a violation of Oregon Administrative Rules.
Sanction
RCFCP24-00575 $500.00 fine assessed