Violation Details: 00253605-AP-240540

Records Request Print
Date
3/22/2023
Report number
00253605-AP-240540
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
Result
Substantiated
Rule(s) Violated
411-054-0025(1)(a) and (b)
411-054-0027(1)(f) and (r)
411-054-0028(2)
Findings
Alleged Victim (AV) relies on the facility for h/h care and for a safe environment. Passenger safety documentation provided indicates, passengers in wheelchairs should be removed from the chair and placed in a seat with seat belt on. Alleged Perpetrator #2 (AP2) reported receiving training on strapping in clients and mobility devices. AP2 was driving AV on the facility bus, in h/h wheelchair when AP2 turned a corner and an unsecured walker fell and hit AV on the left arm and leg causing unreasonable discomfort. AP2 did not follow passenger transportation safety guidelines, and a safe environment which is a violation or resident rights, is considered neglect of care and constitutes abuse. The facility failed to ensure a safe environment, which is a violation of Oregon Administrative Rules.