Violation Details: 00253299-AP-209153

Records Request Print
Date
3/20/2023
Report number
00253299-AP-209153
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to assure resident was safe
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0036(2)(g)
Findings
According to documentation, the Alleged Perpetrator 2 failed to follow the AV's care plan related to transfers in his/her wheelchair. The failure resulted in AV falling from his/her chair causing unreasonable discomfort, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to ensure AV's safety, which is a violation of Oregon Administrative Rules.