Violation Details: 00249589-AP-205563

Records Request Print
Date
2/28/2023
Report number
00249589-AP-205563
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: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings
Alleged Victim (AV) is care planned to have full assistance with showers. AV had a fall while taking a shower and hit his/her elbow. As a result, AV sustained a scape to the elbow. Alleged Perpetrator 2 (AP2) was supposed to be with AV when AV was showering but left AV alone. AP2 failed to follow the care plan, which is neglect of care and constitutes abuse. The facility failed to assure AV’s care plan was being followed, which is a violation of Oregon Administrative Rules.