Violation Details: 00256066-AP-211557A

Records Request Print
Date
4/5/2023
Report number
00256066-AP-211557A
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide service
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025-(1)(a) and (b)
External site: 411-054-0027(1)(a)(f) and (r)
External site: 411-054-0028(2)
Findings
On or about April 5, 2023, the Alleged Victim (AV), fell out of bed. The Alleged Perpetrator #2 (AP2), found AV on the floor, and instead of providing assistance to AV, AP2 placed a pillow under AV's head and a blanket on them and left AV on the floor. AV was on the floor for approximately 15-20 minutes until another staff member came back from lunch and called 911. AV was taken to the hospital due to a head hematoma. AP2 failed to provide services to AV, which is considered neglect of care and constitutes abuse. The facility failed to ensure care was completed which is a violation or Oregon Administrative rules.