Violation Details: 00267743-AP-222692

Records Request Print
Date
6/8/2023
Report number
00267743-AP-222692
Type
Licensing Violation
Level
2 - Minor harm or potential for moderate harm
Allegation
Failed to follow care plan
Result
Substantiated
Rule(s) Violated
External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0036(2)(g)
Findings
Alleged Victim (AV) relies on the facility for his/her care and is care planned to have their bed in the lowest position when not receiving care. On or about June 8, 2023, Alleged Perpetrator 2 (AP2) assisted the AV with care and did not move the bed back to the lowest position per the service plan. This resulted in AV falling out of bed and being injured. AP2 failed to follow the care plan, which is a violation of resident rights, is considered neglect of care and constitutes abuse. The facility failed to ensure the care plan was being followed, which is a violation of Oregon Administrative Rules.