Violation Details: 00256556-AP-211999

Records Request Print
Date
4/10/2023
Report number
00256556-AP-211999
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to provide safe environment
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(r)
Findings
Alleged Perpetrator 2 (AP2) failed to follow Alleged Victim's (AV) care plan which resulted in AV suffering a fall, causing AV unreasonable discomfort. Based on facility documentation and interviews, AP2 failed to assist AV in transferring, ambulating, and following AV's care plan to have AV's pressure alarm in use. AP2's actions is considered neglect of care which constitutes abuse. The facility failed to provide a safe environment for AV which is a violation of Oregon Administrative Rules.