Violation Details: 00254444-AP-210032

Records Request Print
Date
11/17/2022
Report number
00254444-AP-210032
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. On or about November 17, 2022, AP2 was driving the facility bus, AV was in h/h motorized wheelchair, when it tipped requiring AP2 to push AV’s chair upright. AV presented with pain and bruising the next day and was sent to the hospital. 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.