Violation Details: 00265481-AP-220483

Date
5/25/2023
Report number
00265481-AP-220483
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to protect resident from physical abuse
Result
Substantiated
Findings
The Alleged Victim (AV) is a fall risk and staff are advised to observe and/or provide stand by assist while ambulating, redirect when showing aggression, and remind AV to stand close to his/her walker. On or about May 25, 2023, AV was sitting in the dining room and began to stand up. Alleged Perpetrator #2 (AP2) ran over to AV, grabbed onto AV and pulled him/her back into the chair with such force, the chair almost tipped over. AV was not harmed, however, he/she was visibly upset about the situation. AP2's actions are a violation of resident rights, are considered neglect of care and constitute physical abuse. The facility's failure to protect AV from physical abuse is a violation of Oregon Administrative Rules.